45 C.F.R. § 162.1601   Health care payment and remittance advice transaction.


Title 45 - Public Welfare


Title 45: Public Welfare
PART 162—ADMINISTRATIVE REQUIREMENTS
Subpart P—Health Care Payment and Remittance Advice

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§ 162.1601   Health care payment and remittance advice transaction.

The health care payment and remittance advice transaction is the transmission of either of the following for health care:

(a) The transmission of any of the following from a health plan to a health care provider's financial institution:

(1) Payment.

(2) Information about the transfer of funds.

(3) Payment processing information.

(b) The transmission of either of the following from a health plan to a health care provider:

(1) Explanation of benefits.

(2) Remittance advice.

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