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SIS RAM / ISPG
- Chapter A13, Section 4.1 of the RAM states a rejection should be made using a rejection invoice and it should only be for the disputed amount
- Section 5.6 of the Participation Guide states only whole (not part of ) line items of an invoice can be rejected
As these two statements are incompatible please could you confirm which of the two is correct for MISC rejections.
Thanks |
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Dear Hayley,
The ISPG and the RAM do not provide conflicting information regarding rejections - SIS simply provides more options and flexibility than the RAM.
In fact, in SIS, rejections may be done on the (1) full invoice, (2) on certain line items in full, or (3) on certain line item(s) in part. Whereas the RAM stipulates that rejections should be done only on the disputed difference. This is because the SIS system has to be flexible and hence allows more than specified in the RAM. There are two main reasons for this:
(1) The RAM states common rules, however carriers are free to bilaterally or multilaterally overrule the RAM.
(2) RAM rules can be changed. And in such cases we do not want to also have to change the SIS system and go through testing.
Best regards
From:
Posted: Friday, May 06, 2011 2:42 PM
Subject: SIS RAM / ISPG
- Chapter A13, Section 4.1 of the RAM states a rejection should be made using a rejection invoice and it should only be for the disputed amount
- Section 5.6 of the Participation Guide states only whole (not part of ) line items of an invoice can be rejected
As these two statements are incompatible please could you confirm which of the two is correct for MISC rejections.
Thanks |