Request X12 to provide further guidance on how to use 5010 835 BPR16 if BPR04 is NON.
Per the 5010 TR3 for BPR16: If BPR04 is ‘NON’, enter the date of the 835.
Per CAQH CORE Operating Rule - Elapsed Time between Sending the v5010 X12 835 and the CCD+ Transactions: A health plan must ensure that the CCD+ Effective Entry Date is a valid banking day and that the corresponding v5010 x12 835 BPR16 date is the same valid banking day. Does the BPR16 need to be a "Banking Day" when BPR04 is 'NON'? Should the date ALWAYS be required to be a banking day even when there is no payment?
We are getting a compliance rejection from a validation when the BPR16 is a Sunday date, which is the date when the 'NON' remit is created.
The note in the BPR16 data element clearly defines what date must be used for each BPR04 value.
“Use this for the effective entry date. If BPR04 is ACH, this is the date that the money moves from the payer and is available to the payee. If BPR04 is CHK, this is the check issuance date. If BPR04 is FWT, this is the date that the payer anticipates the money to move. As long as the effective date is a business day, this is the settlement date. If BPR04 is ‘NON’, enter the date of the 835.”
Using a date other than the date of the 835 when the BPR04 is ‘NON’ is not compliant with the 5010 guide. When there is no payment, there is no reassociation because there is no payment to reassociate to.