Common use of Transaction Format and Specifications Clause in Contracts

Transaction Format and Specifications. 5.1.1. Before submitting any Transaction throughout the term of this Agreement, Trading Partner will cooperate in any testing AultCare requires of the transmission and processing systems deemed necessary to ensure the accuracy, timeliness, completeness, and security of each data Transaction. 5.1.2. Data will be exchanged only using the Electronic Data Transaction Standards and Code Sets. 5.1.3. Trading Partner will submit eligibility inquiries only for the sole purpose of verifying enrollees’’ eligibility for services according to the requirements and limitations identified in the Companion Guide, including transaction size and daily volume limits identified. 5.1.4. The parties will not violate 45 CFR §162.915 (a)-(d). Specifically, this Agreement will not: 5.1.4.1. Change the definition, Data Condition, or use of a Data Element or Segment in a Standard Operating Rule, except where necessary to implement State or Federal law, or to protect against fraud and abuse. 5.1.4.2. Add any Data Elements of Segments to the Maximum Defined Data Set. 5.1.4.3. Use any code or Data Elements that are either marked “not used” in the standard’s Implementation Specification or are not in the standard’s Implementation Specification(s). 5.1.4.4. Change the meaning or intent of the standard’s Implementation Specification(s).