ASP Service Sample Clauses

ASP Service. (a) Ivertex hosts the ASP Services to enable Customer to conduct electronic business with other companies (the “Trading Partners”) including healthcare insurance payers and clearinghouses. Ivertex communicates with Customer’s Trading Partners using Electronic Data Interchange (EDI) formats and communications protocols. The electronic services provided by the ASP Service are commonly referred to in the industry as “Service bureau”, “billing agent”, or “clearinghouse” services, and include but are not limited to: (i) delivery, processing, and management of electronic health insurance claims and other HIPAA-related electronic transactions to Customer’s Trading Partners, (ii) automatic translation and manual entry of data to form the electronic transactions, and (iii) delivery, processing, and management of non-standard files and reports related to the electronic transactions. (b) Ivertex agrees to forward all claims in a timely manner (within 5 minutes normally, but allowing for up to two (2) business days of receipt of claims). Edits will be applied to each claim based upon the published edit documentation of the appropriate clearinghouse and payer. If the claim passes the edits, it will be submitted electronically to the appropriate Trading Partner. Ivertex may make format changes in the information received from Customer. Ivertex reserves the right to modify the claim submissions, as required or requested by the Trading Partner, into the required HIPAA transaction and code sets format as mandated by 45 CFR 162, subpart K through R. Submitted claim data that does not comply with the Trading Partners published documentation may not be forwarded. Ivertex will make no other changes to claim information received from Customer without disclosing it in this Agreement in Article 1.3 Data Limitation Disclosures, or upon receiving prior written consent of Customer. (c) Customer acknowledges with respect to the ASP Service, that (i) the Trading Partner submitted to will reject any claim which fails to satisfy that the Trading Partner’s then current standard edits, either undocumented or published in the Trading Partner’s relevant technical specifications, and (ii) each Trading Partner has the right to reject any claim that fails to meet claims administration criteria then ordinarily employed by that entity. Customer acknowledges that it is the Customer's responsibility to review responses and reports from Ivertex and/or a Trading Partner to determine the status of a ...