In version 5010 (1.3.2.1), the IG explicitly limits the number of claim status requests to 1 per real-time 276 transaction. In the 4010 IG (1.5), there is no explicit limit for real-time requests. Does this mean that an information source that processes only 1 claim status request per real-time 276 is not in compliance with the 4010 IG?
Although the 004010X093A1 Guide does not explicitly limit the number of claim status requests to 1 per real-time 276 transaction, that intent is implied in Section 1.5 - Batch and Real Time Definitions, where it states in real time mode ‘a request’ (implying 1) is sent. However, since the guide did not explicitly set a request limit on real time Claim Status requests, Trading Partners may establish their own agreed upon limit.
The limit of 1 claim status request per real time transaction has been an accepted industry practice and was consequently added to the 005010X212 for clarity.
Please see the Disclaimer related to determining compliance.