Section title: Requests for Interpretation
RFI #
2334
5010 - 837 P,I,D-CLM limit
Description

The TR3 noted about the number of CLM segment limit per ST/SE as "recommend" to 5000. When the file has over 5K CLM segments, it is not compliance?  

Response

The CLM TR3 Notes in the 005010X222A2, 005010X223A3 and 005010X224A3 TR3s state “The developers of this implementation guide recommend that trading partners limit the size of the transaction (ST-SE envelope) to a maximum of 5000 CLM segments. There is no recommended limit to the number of ST-SE transactions within a GS-GE or ISA-IEA. Willing trading partners can agree to set limits higher.”
Although the limit is only a recommendation, a transaction with more claims would be compliant only if the sending and receiving trading partners had agreed to a higher maximum.

DOCUMENT ID
005010X222A1