45 CFR Part 162
PART 162—ADMINISTRATIVE REQUIREMENTS
- PART 162—ADMINISTRATIVE REQUIREMENTS
- Subtitle A—Department of Health and Human Services › Subchapter C—Administrative Data Standards and Related 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 [Reserved]
- § 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 [Reserved]
- § 162.910 Maintenance of standards and adoption of modifications and new standards.
- § 162.915 Trading partner agreements.
- § 162.920 Availability of implementation specifications and operating rules.
- § 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.
- § 162.1203 Operating rules 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.
- § 162.1403 Operating rules 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 Electronic Funds Transfers (EFT) and Remittance Advice
- § 162.1601 Health care electronic funds transfers (EFT) and remittance advice transaction.
- § 162.1602 Standards for health care electronic funds transfers (EFT) and remittance advice transaction.
- § 162.1603 Operating rules for health care electronic funds transfers (EFT) 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.
- Subpart S—Medicaid Pharmacy Subrogation
- § 162.1901 Medicaid pharmacy subrogation transaction.
- § 162.1902 Standard for Medicaid pharmacy subrogation transaction.
- Subpart T—Health Care Claims Attachments
- § 162.2001 Health care claims attachments transaction.
- § 162.2002 Standards for health care claims attachments transaction.
Feedback