N.H. Admin. Code § Ins 4202.06

Current through Register No. 45, November 7, 2024
Section Ins 4202.06 - Transmittal Record

With each submission of data, a transmittal record shall also be supplied that contains the following information:

(a) Submitting hospital or community health center;
(b) If different from submitting healthcare facility, the name and address of the location where the encounters in the submitted records occurred;
(c) File name;
(d) Contact person name;
(e) Contact person address;
(f) Contact person telephone number;
(g) Contact person e-mail address;
(h) Period beginning date;
(i) Period ending date;
(j) Record count;
(k) Date processed;
(l) Submission date; and
(m) Explanatory notes to assist with processing of the file.

N.H. Admin. Code § Ins 4202.06

#9806, eff 11-1-10