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This lone sentence:
>In all of these cases, the Payer will require a trading partner agreement for sending attachments based on predefined rules.

Implies that other integrations don't require a "trading partner agreement", and that the provider does not require a "trading partner agreement".

Also, you don't define what a "trading partner agreement is". Is such an agreement required because this specification says it is?

duplicates

FHIR-38603 trading partner agreements could be a barrier

is voted on by

BALLOT-39480 Negative - Christopher Schaut : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40522 Negative - Amit Popat : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40545 Negative - Kimberly Herman : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40568 Negative - Daniel Rutz : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40575 Negative - David Sundaram-Stukel : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40582 Negative - Cooper Thompson : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40589 Negative - Chris Courville : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40606 Negative - Daniel Zhang : 2022-Sep-FHIR IG CDex R1 STU

BALLOT-40613 Negative - Isaac Vetter : 2022-Sep-FHIR IG CDex R1 STU

(5 is voted on by, 1 mentioned in)