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3. What transmissions must comply?

All electronic transmissions of the specified transactions from one computer to another must comply with the standards (assuming the conditions under FAQ #1 are met). Electronic transmissions include transmissions using all media, even when the transmission is physically moved from one location to another using magnetic tape, disk, or CD media. Transmissions over the Internet, intranets, leased lines, dial-up lines, private networks, etc. are all included. Telephone voice response and faxback systems would not be included. The HTML interaction between a server and a browser by which the elements of a transaction are solicited from a user would not be included, but once assembled into a transaction by the server, transmission of the full transaction to another corporate entity, such as a payer, must comply.

The only exception involves the use of clearinghouses.

• Providers may submit non-standard transactions to clearinghouses, who must convert the data into the standard transaction before forwarding it on to the payer.

• Payers may submit non-standard transactions to clearinghouses, who must also create the standard transaction before forwarding it on to the provider.

• A clearinghouse may convert standard transactions into paper or other non-standard format for receipt by a provider or plan which does not have the capacity to receive such transactions in standard format.

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