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45 C.F.R. PART 162--ADMINISTRATIVE REQUIREMENTS

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

�162.100

Applicability.

�162.103

Definitions.

Subparts B-C--[RESERVED]

Subpart D--STANDARD UNIQUE HEALTH IDENTIFIER FOR HEALTH CARE PROVIDERS

�162.402

Definitions.

�162.404

Compliance dates of the implementation of the standard unique health identifier for health care providers.

�162.406

Standard unique health identifier for health care providers.

�162.408

National Provider System.

�162.410

Implementation specifications: Health care providers.

�162.412

Implementation specifications: Health plans.

�162.414

Implementation specifications: Health care clearinghouses.

Subpart E--[RESERVED]

Subpart F--STANDARD UNIQUE EMPLOYER IDENTIFIER

�162.600

Compliance dates of the implementation of the standard unique employer identifier.

�162.605

Standard unique employer identifier.

�162.610

Implementation specifications for covered entities.

Subparts G-H--[RESERVED]

Subpart I--GENERAL PROVISIONS FOR TRANSACTIONS

�162.900

Compliance dates for transaction standards and code sets.

�162.910

Maintenance of standards and adoption of modifications and new standards.

�162.915

Trading partner agreements.

�162.920

Availability of implementation specifications.

�162.923

Requirements for covered entities.

�162.925

Additional requirements for health plans.

�162.930

Additional rules for health care clearinghouses.

�162.940

Exceptions from standards to permit testing of proposed modifications.

Subpart J--CODE SETS

�162.1000

General requirements.

�162.1002

Medical data code sets.

�162.1011

Valid code sets.

Subpart K--HEALTH CARE CLAIMS OR EQUIVALENT ENCOUNTER INFORMATION

�162.1101

Health care claims or equivalent encounter information transaction.

�162.1102

Standards for health care claims or equivalent encounter information transaction.

Subpart L--ELIGIBILITY FOR A HEALTH PLAN

�162.1201

Eligibility for a health plan transaction.

�162.1202

Standards for eligibility for a health plan transaction.

Subpart M--REFERRAL CERTIFICATION AND AUTHORIZATION

�162.1301

Referral certification and authorization transaction.

�162.1302

Standards for referral certification and authorization transaction.

Subpart N--HEALTH CARE CLAIM STATUS

�162.1401

Health care claim status transaction.

�162.1402

Standards for health care claim status transaction.

Subpart O--ENROLLMENT AND DISENROLLMENT IN A HEALTH PLAN

�162.1501

Enrollment and disenrollment in a health plan transaction.

�162.1502

Standards for enrollment and disenrollment in a health plan transaction.

Subpart P--HEALTH CARE PAYMENT AND REMITTANCE ADVICE

�162.1601

Health care payment and remittance advice transaction.

�162.1602

Standards for health care payment and remittance advice transaction.

Subpart Q--HEALTH PLAN PREMIUM PAYMENTS

�162.1701

Health plan premium payments transaction.

�162.1702

Standards for health plan premium payments transaction.

Subpart R--COORDINATION OF BENEFITS

�162.1801

Coordination of benefits transaction.

�162.1802

Standards for coordination of benefits information transaction.