I hope this is the appropriate group with whom we would share a lingering question.   
One of our assessment working groups has an ongoing debate on whether  providers have 
a choice in their claims-submission method.  We have two groups who interpret the regs 
two ways and one group that maintains this isn't specifically addressed in the regs at 
all.  Our question is:  

Once a provider has submitted a transaction electronically to a payer, does the 
provider always have to send that transaction electronically?  

We gratefully appreciate anyone's answer or thoughts on this question.  

Regards,
Amanda 



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