Oregon Administrative Rules › Chapter 407 - DEPARTMENT OF HUMAN SERVICES › Division 120 - PROVIDER RULES › Section 407-120-0140 - Trading Partner Agents as EDI Submitters - EDI Transactions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Responsibility
			 for Agents. If a trading partner uses the services of an agent, including but
			 not limited to an EDI submitter in any capacity in order to receive, transmit,
			 store, or otherwise process data or data transmissions or perform related
			 activities, a trading partner shall be fully responsible to the Department for
			 the agent's acts.
(2) Notices
			 Regarding EDI Submitter. Prior to the commencement of an EDI submitter's
			 services, a trading partner must designate in the application for authorization
			 the specific EDI submitters that are authorized to send and receive data
			 transmissions in the performance of EDI transactions of a trading partner. A
			 trading partner must complete the "Trading partner Authorization of EDI
			 Submitter" and the "EDI Submitter Information" required in the application. A
			 trading partner must also submit the EDI registration form identifying and
			 providing information about an EDI submitter. A trading partner or authorized
			 EDI submitter must notify the Department of any material changes in the EDI
			 submitter authorization or information no less than five days prior to the
			 effective date of the changes.
(3)
			 EDI Submitter Authority. A trading partner must authorize the actions that an
			 EDI submitter may take on behalf of a trading partner. The application for
			 authorization permits a trading partner to authorize which decisions may only
			 be made by a trading partner and which decisions are authorized to be made by
			 an EDI submitter. The EDI submitter information authorized in the application
			 for authorization will be recorded by the Department in an EDI submitter
			 profile. The Department may reject EDI transactions from an EDI submitter
			 acting without authorization from a trading partner.
(4) EDI Submitter Certification Conditions.
			 Each authorized EDI submitter acting as an agent of a trading partner must
			 execute and comply with the EDI submitter certification conditions that are
			 incorporated into the application for authorization. Failure to include the
			 signed EDI submitter certification conditions with the application shall result
			 in a denial of EDI submitter authorization by the Department. Failure of an EDI
			 submitter to comply with the EDI submitter certification conditions may result
			 in termination of EDI submitter registration for EDI transactions with the
			 Department.
(5) EDI Submitters
			 Responsibilities. In addition to the requirements of section (1) of this rule,
			 a trading partner is responsible for ensuring that an EDI submitter makes no
			 unauthorized changes in the data content of all data transmissions or the
			 contents of an envelope, and that an EDI submitter will take all appropriate
			 measures to maintain the timeliness, accuracy, truthfulness, confidentiality,
			 security, and completeness of each data transmission. A trading partner is
			 responsible for ensuring that its EDI submitters are specifically advised of,
			 and will comply with, the terms of these rules and any TPA.
Stat. Auth.: ORS
				  409.050,
				  414.065
Stats. Implemented: ORS
				  414.065