N.H. Admin. Code § Ins 4008.01

Current through Register No. 49, December 5, 2024
Section Ins 4008.01 - Waiver of Requirement to Submit Specific Data Elements
(a) Upon application of a carrier or third-party administrator, the department shall grant a waiver of the requirement to submit a particular data element required under these rules, upon a showing by the carrier or third-party administrator that:
(1) The data element does not exist on the carrier's or third-party administrator's transaction system;
(2) The data element cannot be derived reliably from other information available on the carrier's or third-party administrator's transaction system; and
(3) The data element does not reflect information necessary to process claims or to conduct business operations in accordance with generally accepted industry standards, such that it should reasonably be available.
(b) A carrier or third-party administrator granted a waiver shall populate that data field in its claims data submissions in the manner specified in the waiver.

N.H. Admin. Code § Ins 4008.01

Derived From Volume XXXV Number 32, Filed August 13, 2015, Proposed by #10877, Effective 7/10/2015, Expires7/10/2025.
Amended by Volume XL Number 50, Filed December 10, 2020, Proposed by #13136, Effective 11/24/2020, Expires 11/24/2030