N.J. Admin. Code § 11:22-3.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 11:22-3.5 - Additional timetables

(a) In accordance with 11:22-1.3, payers receiving an electronically filed claim shall individually acknowledge receipt of each claim by responding with a 277 Transactions, ANSI ASC X12.317, Version 003070, Release 7, Sub-release O, October 1996, Electronic Health Care Claim Status Notification acknowledgement. Nothing in this section shall prevent payers from also using any other responses including, but not limited to, the 997 Functional Acknowledgement of batch transfers in addition to providing a 277 acknowledgement.

(b) In the event a provider's system is unable to receive a 277 acknowledgement, the payer shall establish a mutually agreeable alternative means of acknowledgement with the provider.

Recodified from N.J.A.C. 11:22-3.7 and amended by R.2011 d.256, effective 10/17/2011.
See: 43 N.J.R. 1236(a), 43 N.J.R. 2668(b).
Deleted former (a) and (b); recodified former (c) and (d) as (a) and (b); and in (a), inserted "Transactions, ANSI ASC X12.317, Version 003070, Release 7, Sub-release O, October 1996, Electronic Health Care Claim Status Notification", and deleted "described in (a)7 above" following the first occurrence of "acknowledgement". Former N.J.A.C. 11:22-3.5, Extensions of time and exemptions from compliance, repealed.