Questions Submitted by the Public, by Date Posted to the Website. Number of transactions per transmission


Can health plans limit transmissions to contain one type of transaction, such as health care claims, or must we be capable of accepting and sending multiple types of transactions in one transmission, such as claims and remittance payment?


Health plans may continue to limit one type of transaction (e.g., health care claim) to a single transmission. Health plans are not required to redesign their systems in order to accept or send multiple types of transactions (e.g., health care claims, eligibility, claim status) in one transmission.