(a) Insurance carriers must submit claim EDI transactions
according to the:
(1) IAIABC EDI Implementation Guide for Claims, Release
3.1.4;
(2) Texas Claim EDI Release 3.1.4 Implementation Guide,
Version 1.0;
(3) Texas Claim EDI Release 3.1.4 Element Requirement
Table, Version 1.0;
(4) Texas Claim EDI Release 3.1.4 Edit Matrix, Version
1.0, dated June 30, 2023; and
(5) Texas Claim EDI Release 3.1.4 Event Table, Version
1.0.
(b) In addition to the requirements adopted under §124.103
of this title (concerning Reporting Standards), when the injured employee's
Social Security number is unknown for reporting claim EDI transactions,
it must be reported in accordance with Texas Claim EDI Release 3.1.4
Element Requirement Table, Version 1.0, as adopted in §124.103
of this title.
|