Operating Rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) for Payments and Reconciliation (Phase III)

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Comment

CAQH CORE Comments to ONC ISA 2020 Reference Edition - Phase III

Statutory References for Operating Rules for Electronic Funds Transfer and Electronic Remittance Advice for Payments and Reconciliation (Phase III)  CAQH CORE recommends ONC include the statutory reference in the subpage titled “Operating Rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA)” to enhance ease of use. Such reference would be (Incorporated by reference in § 162.920) after each of the five bullets. This would be consistent with language currently included in the ISA for Operating Rules to Support Eligibility Transactions (Phase I) and Operating Rules to Support Eligibility and Claim Status Transactions (Phase II).  For example:    Phase III Operating Rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) for Payments and Reconciliation include:   (1) Phase III CORE 350: Healthcare Claim Payment/Advice (835) Infrastructure Rule (Incorporated by reference in § 162.920) (2) Phase III CORE 360: Uniform Use of CARCs and RARCs (835) Rule (Incorporated by reference in § 162.920) (3) Phase III CORE 370: EFT and ERA Reassociation (CCD+/835) Rule (Incorporated by reference in § 162.920) (4) Phase III CORE 380: EFT Enrollment Data Rule (Incorporated by reference in § 162.920) (5) Phase III CORE 382: ERA Enrollment Data Rule (Incorporated by reference in § 162.920)
CAQH CORE Comment Letter to ONC ISA_1.pdf