Candidate Standard

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This standard defines the choreography for reporting Claim Detail Record Discrepancies depicted below. 

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Unless specifically agreed otherwise between the Licensee and the Licensor, a Licensee may only send one Claim Detail Record Discrepancy Notification for each Claim Detail Message (or equivalent) received; for the purpose of this, Corrections are considered new Claim Detail Messages. 

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  1. One Header Record CDMH;
  2. 1-n Summary Record CDS1;
  3. One or more Discrepancy Records CDD1;
  4. One Footer Record CDMF SRFO.

Details about these Record Types are provided in Part 2 of this Standard.

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