This standard defines the choreography for reporting Claim Detail Record Discrepancies depicted below.
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.
- One Header Record
- 1-n Summary Record
- One or more Discrepancy Records
- One Footer Record
Details about these Record Types are provided in Part 2 of this Standard.