CHAPTER 5.0 - Billing Adjustment Request (BAR) Form

5.5 BellSouth Dispute Receipt Acknowledgment Section

BellSouth is responsible for populating the BellSouth Dispute Receipt Acknowledgment Section. Upon initial screening of the dispute, BellSouth responds to the carrier using this section to provide them with information they need to follow up on the dispute.

5.5.1 Field Descriptions:

The links below provide additional information on the fields contained within the BellSouth Dispute Receipt Acknowledgment Section of the BAR.

Field Number Field Name

21 Date

22 BellSouth Audit Number

23 Contact Number and Name

5.5.2 Date

Field Name Date

Field Number 21

Required Field No

Field Description The date that BellSouth receives the completed form from the disputing carrier with required fields populated.

Format: YYYY/MM/DD

5.5.3 BellSouth Audit Number

Field Name BellSouth Audit Number

Field Number 22

Required Field No

Field Description BellSouth Audit/Tracking Number (in most cases it will be the same as the Audit/Tracking number assigned by the disputing carrier from field #3).

5.5.4 Contact Number and Name

Field Name Contact Number and Name

Field Number 23

Required Field No

Field Description The contact number and name of the BellSouth Billing Dispute Center handling the carrier's dispute and the name of the representative handling the dispute.

Field Number	Field Name
21	Date
22	BellSouth Audit Number
23	Contact Number and Name

Field Name	Date
Field Number	21
Required Field	No
Field Description	The date that BellSouth receives the completed form from the disputing carrier with required fields populated.
Field Description	Format: YYYY/MM/DD

Field Name	BellSouth Audit Number
Field Number	22
Required Field	No
Field Description	BellSouth Audit/Tracking Number (in most cases it will be the same as the Audit/Tracking number assigned by the disputing carrier from field #3).

Field Name	Contact Number and Name
Field Number	23
Required Field	No
Field Description	The contact number and name of the BellSouth Billing Dispute Center handling the carrier's dispute and the name of the representative handling the dispute.