October 2019 Accredited Bundle Interop results submission form

Please select the Sending HISP (your HISP) *
Note: 2-Cert Addresses (Single use certificates) are specified at the end of the list.
Optional contact name and regular email address
If the field is left blank, DirectTrust will utilize the contact information listed on the DirectTrust Interop Directory if further information is needed about the reported result(s).
Your answer
If multiple POSITIVE tests are being reported, please select the second option below. To use the standard single test response (can be used for all reports), please choose the first option. *
For Multiple results form: Testing MUST meet all criteria: 1. Message was sent to this counter party (left my system without immediate fail). 2. Processed MDN was Received and Usable by my system. 3. Beyond the MDN: Counter party confirmed the message I sent to them was received and its payload could be incorporated (if receiving system is an EHR endpoint) OR was readable (if receiving system is a HISP endpoint). Counter party may alternatively confirm this in their own report.
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