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Home Page > Executive Branch > Code of Federal Regulations > Electronic Code of Federal Regulations
e-CFR Data is current as of February 4, 2010
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. |
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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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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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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 PAYMENT AND REMITTANCE ADVICE
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| Health care payment and remittance advice transaction. |
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| Standards for health care payment 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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