e-CFR data is current as of June 3, 2020
TITLE 45—Public Welfare
Subtitle A—DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS PART 162—ADMINISTRATIVE REQUIREMENTS
Subpart A—GENERAL PROVISIONS
Subparts B-C [Reserved]
Subpart D—STANDARD UNIQUE HEALTH IDENTIFIER FOR HEALTH CARE PROVIDERS
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| Compliance dates of the implementation of the standard unique health identifier for health care providers. |
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| Standard unique health identifier for health care providers. |
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| National Provider System. |
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| Implementation specifications: Health care providers. |
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| Implementation specifications: Health plans. |
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| Implementation specifications: Health care clearinghouses. |
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Subpart E—[RESERVED]
Subpart F—STANDARD UNIQUE EMPLOYER IDENTIFIER
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| Compliance dates of the implementation of the standard unique employer identifier. |
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| Standard unique employer identifier. |
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| Implementation specifications for covered entities. |
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Subparts G-H [Reserved]
Subpart I—GENERAL PROVISIONS FOR TRANSACTIONS
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| Maintenance of standards and adoption of modifications and new standards. |
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| Trading partner agreements. |
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| Availability of implementation specifications and operating rules. |
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| Requirements for covered entities. |
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| Additional requirements for health plans. |
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| Additional rules for health care clearinghouses. |
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| Exceptions from standards to permit testing of proposed modifications. |
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Subpart J—CODE SETS
Subpart K—HEALTH CARE CLAIMS OR EQUIVALENT ENCOUNTER INFORMATION
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| Health care claims or equivalent encounter information transaction. |
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| Standards for health care claims or equivalent encounter information transaction. |
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Subpart L—ELIGIBILITY FOR A HEALTH PLAN
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| Eligibility for a health plan transaction. |
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| Standards for eligibility for a health plan transaction. |
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| Operating rules for eligibility for a health plan transaction. |
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Subpart M—REFERRAL CERTIFICATION AND AUTHORIZATION
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| Referral certification and authorization transaction. |
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| Standards for referral certification and authorization transaction. |
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Subpart N—HEALTH CARE CLAIM STATUS
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| Health care claim status transaction. |
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| Standards for health care claim status transaction. |
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| Operating rules for health care claim status transaction. |
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Subpart O—ENROLLMENT AND DISENROLLMENT IN A HEALTH PLAN
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| Enrollment and disenrollment in a health plan transaction. |
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| Standards for enrollment and disenrollment in a health plan transaction. |
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Subpart P—HEALTH CARE ELECTRONIC FUNDS TRANSFERS (EFT) AND REMITTANCE ADVICE
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| Health care electronic funds transfers (EFT) and remittance advice transaction. |
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| Standards for health care electronic funds transfers (EFT) and remittance advice transaction. |
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| Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction. |
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Subpart Q—HEALTH PLAN PREMIUM PAYMENTS
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| Health plan premium payments transaction. |
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| Standards for health plan premium payments transaction. |
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Subpart R—COORDINATION OF BENEFITS
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| Coordination of benefits transaction. |
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| Standards for coordination of benefits information transaction. |
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Subpart S—MEDICAID PHARMACY SUBROGATION
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| Medicaid pharmacy subrogation transaction. |
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| Standard for Medicaid pharmacy subrogation transaction. |
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