diff --git a/src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileController.kt b/src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileRestController.kt
similarity index 77%
rename from src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileController.kt
rename to src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileRestController.kt
index cf0e693..9b441f6 100644
--- a/src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileController.kt
+++ b/src/main/kotlin/dev/dnpm/etl/processor/web/MtbFileRestController.kt
@@ -19,6 +19,7 @@
 
 package dev.dnpm.etl.processor.web
 
+import de.ukw.ccc.bwhc.dto.Consent
 import de.ukw.ccc.bwhc.dto.MtbFile
 import dev.dnpm.etl.processor.services.RequestProcessor
 import org.slf4j.LoggerFactory
@@ -26,16 +27,21 @@ import org.springframework.http.ResponseEntity
 import org.springframework.web.bind.annotation.*
 
 @RestController
-class MtbFileController(
+class MtbFileRestController(
     private val requestProcessor: RequestProcessor,
 ) {
 
-    private val logger = LoggerFactory.getLogger(MtbFileController::class.java)
+    private val logger = LoggerFactory.getLogger(MtbFileRestController::class.java)
 
     @PostMapping(path = ["/mtbfile"])
     fun mtbFile(@RequestBody mtbFile: MtbFile): ResponseEntity<Void> {
-        logger.debug("Accepted MTB File for processing")
-        requestProcessor.processMtbFile(mtbFile)
+        if (mtbFile.consent.status == Consent.Status.ACTIVE) {
+            logger.debug("Accepted MTB File for processing")
+            requestProcessor.processMtbFile(mtbFile)
+        } else {
+            logger.debug("Accepted MTB File and process deletion")
+            requestProcessor.processDeletion(mtbFile.patient.id)
+        }
         return ResponseEntity.accepted().build()
     }
 
diff --git a/src/test/kotlin/dev/dnpm/etl/processor/web/MtbFileRestControllerTest.kt b/src/test/kotlin/dev/dnpm/etl/processor/web/MtbFileRestControllerTest.kt
new file mode 100644
index 0000000..2fde35a
--- /dev/null
+++ b/src/test/kotlin/dev/dnpm/etl/processor/web/MtbFileRestControllerTest.kt
@@ -0,0 +1,150 @@
+/*
+ * This file is part of ETL-Processor
+ *
+ * Copyright (c) 2023  Comprehensive Cancer Center Mainfranken, Datenintegrationszentrum Philipps-Universität Marburg and Contributors
+ *
+ * This program is free software: you can redistribute it and/or modify
+ * it under the terms of the GNU Affero General Public License as published
+ * by the Free Software Foundation, either version 3 of the License, or
+ * (at your option) any later version.
+ *
+ * This program is distributed in the hope that it will be useful,
+ * but WITHOUT ANY WARRANTY; without even the implied warranty of
+ * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
+ * GNU Affero General Public License for more details.
+ *
+ * You should have received a copy of the GNU Affero General Public License
+ * along with this program.  If not, see <https://www.gnu.org/licenses/>.
+ */
+
+package dev.dnpm.etl.processor.web
+
+import com.fasterxml.jackson.databind.ObjectMapper
+import de.ukw.ccc.bwhc.dto.*
+import dev.dnpm.etl.processor.services.RequestProcessor
+import org.assertj.core.api.Assertions.assertThat
+import org.junit.jupiter.api.BeforeEach
+import org.junit.jupiter.api.Test
+import org.junit.jupiter.api.extension.ExtendWith
+import org.mockito.Mock
+import org.mockito.Mockito.times
+import org.mockito.Mockito.verify
+import org.mockito.junit.jupiter.MockitoExtension
+import org.mockito.kotlin.any
+import org.mockito.kotlin.argumentCaptor
+import org.springframework.http.MediaType
+import org.springframework.test.web.servlet.MockMvc
+import org.springframework.test.web.servlet.delete
+import org.springframework.test.web.servlet.post
+import org.springframework.test.web.servlet.setup.MockMvcBuilders
+
+@ExtendWith(MockitoExtension::class)
+class MtbFileRestControllerTest {
+
+    private lateinit var mockMvc: MockMvc
+
+    private lateinit var requestProcessor: RequestProcessor
+
+    private val objectMapper = ObjectMapper()
+
+    @BeforeEach
+    fun setup(
+        @Mock requestProcessor: RequestProcessor
+    ) {
+        this.requestProcessor = requestProcessor
+        val controller = MtbFileRestController(requestProcessor)
+        this.mockMvc = MockMvcBuilders.standaloneSetup(controller).build()
+    }
+
+    @Test
+    fun shouldProcessMtbFilePostRequest() {
+        val mtbFile = MtbFile.builder()
+            .withPatient(
+                Patient.builder()
+                    .withId("TEST_12345678")
+                    .withBirthDate("2000-08-08")
+                    .withGender(Patient.Gender.MALE)
+                    .build()
+            )
+            .withConsent(
+                Consent.builder()
+                    .withId("1")
+                    .withStatus(Consent.Status.ACTIVE)
+                    .withPatient("TEST_12345678")
+                    .build()
+            )
+            .withEpisode(
+                Episode.builder()
+                    .withId("1")
+                    .withPatient("TEST_12345678")
+                    .withPeriod(PeriodStart("2023-08-08"))
+                    .build()
+            )
+            .build()
+
+        mockMvc.post("/mtbfile") {
+            content = objectMapper.writeValueAsString(mtbFile)
+            contentType = MediaType.APPLICATION_JSON
+        }.andExpect {
+            status {
+                isAccepted()
+            }
+        }
+
+        verify(requestProcessor, times(1)).processMtbFile(any())
+    }
+
+    @Test
+    fun shouldProcessMtbFilePostRequestWithRejectedConsent() {
+        val mtbFile = MtbFile.builder()
+            .withPatient(
+                Patient.builder()
+                    .withId("TEST_12345678")
+                    .withBirthDate("2000-08-08")
+                    .withGender(Patient.Gender.MALE)
+                    .build()
+            )
+            .withConsent(
+                Consent.builder()
+                    .withId("1")
+                    .withStatus(Consent.Status.REJECTED)
+                    .withPatient("TEST_12345678")
+                    .build()
+            )
+            .withEpisode(
+                Episode.builder()
+                    .withId("1")
+                    .withPatient("TEST_12345678")
+                    .withPeriod(PeriodStart("2023-08-08"))
+                    .build()
+            )
+            .build()
+
+        mockMvc.post("/mtbfile") {
+            content = objectMapper.writeValueAsString(mtbFile)
+            contentType = MediaType.APPLICATION_JSON
+        }.andExpect {
+            status {
+                isAccepted()
+            }
+        }
+
+        val captor = argumentCaptor<String>()
+        verify(requestProcessor, times(1)).processDeletion(captor.capture())
+        assertThat(captor.firstValue).isEqualTo("TEST_12345678")
+    }
+
+    @Test
+    fun shouldProcessMtbFileDeleteRequest() {
+        mockMvc.delete("/mtbfile/TEST_12345678").andExpect {
+            status {
+                isAccepted()
+            }
+        }
+
+        val captor = argumentCaptor<String>()
+        verify(requestProcessor, times(1)).processDeletion(captor.capture())
+        assertThat(captor.firstValue).isEqualTo("TEST_12345678")
+    }
+
+}
\ No newline at end of file