45 C.F.R. § 162.1602 Standards for health care payment and remittance advice transaction.
Title 45 - Public Welfare
The Secretary adopts the following standards for the health care payment and remittance advice transaction. (a) For the period from October 16, 2002 through October 15, 2003: (1) Retail pharmacy drug claims and remittance advice. The NCPDP Telecommunication Standard Implementation Guide, Version 5 Release 1, September 1999, and equivalent NCPDP Batch Standard Batch Implementation Guide, Version 1 Release 0, February 1, 1996. (Incorporated by reference in §162.920). (2) Dental, professional, and institutional health care claims and remittance advice. The ASC X12N 835—Health Care Claim Payment/Advice, Version 4010, May 2000, Washington Publishing Company, 004010X091. (Incorporated by reference in §162.920). (b) For the period on and after October 16, 2003: Health care claims and remittance advice. The ASC X12N 835—Health Care Claim Payment/Advice, Version 4010, May 2000, Washington Publishing Company, 004010X091, and Addenda to Health Care Claim Payment/Advice, Version 4010, October 2002, Washington Publishing Company, 004010X091A1. (Incorporated by reference in §162.920). [68 FR 8398, Feb. 20, 2003]
Title 45: Public Welfare
PART 162—ADMINISTRATIVE REQUIREMENTS
Subpart P—Health Care Payment and Remittance Advice
§ 162.1602 Standards for health care payment and remittance advice transaction.
