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FEDERAL · 45 CFR

Part 162 — Administrative Requirements

44 sections · Title 45: Public Welfare

§ 162.100Applicability.
§ 162.103Definitions.
§ 162.402§ 162.402 [Reserved]
§ 162.404Compliance dates of the implementation of the standard unique health identifier for health care providers.
§ 162.406Standard unique health identifier for health care providers.
§ 162.408National Provider System.
§ 162.410Implementation specifications: Health care providers.
§ 162.412Implementation specifications: Health plans.
§ 162.414Implementation specifications: Health care clearinghouses.
§ 162.600Compliance dates of the implementation of the standard unique employer identifier.
§ 162.605Standard unique employer identifier.
§ 162.610Implementation specifications for covered entities.
§ 162.900§ 162.900 [Reserved]
§ 162.910Maintenance of standards and adoption of modifications and new standards.
§ 162.915Trading partner agreements.
§ 162.920Availability of implementation specifications and operating rules.
§ 162.923Requirements for covered entities.
§ 162.925Additional requirements for health plans.
§ 162.930Additional rules for health care clearinghouses.
§ 162.940Exceptions from standards to permit testing of proposed modifications.
§ 162.1000General requirements.
§ 162.1002Medical data code sets.
§ 162.1011Valid code sets.
§ 162.1101Health care claims or equivalent encounter information transaction.
§ 162.1102Standards for health care claims or equivalent encounter information transaction.
§ 162.1201Eligibility for a health plan transaction.
§ 162.1202Standards for eligibility for a health plan transaction.
§ 162.1203Operating rules for eligibility for a health plan transaction.
§ 162.1301Referral certification and authorization transaction.
§ 162.1302Standards for referral certification and authorization transaction.
§ 162.1401Health care claim status transaction.
§ 162.1402Standards for health care claim status transaction.
§ 162.1403Operating rules for health care claim status transaction.
§ 162.1501Enrollment and disenrollment in a health plan transaction.
§ 162.1502Standards for enrollment and disenrollment in a health plan transaction.
§ 162.1601Health care electronic funds transfers (EFT) and remittance advice transaction.
§ 162.1602Standards for health care electronic funds transfers (EFT) and remittance advice transaction.
§ 162.1603Operating rules for health care electronic funds transfers (EFT) and remittance advice transaction.
§ 162.1701Health plan premium payments transaction.
§ 162.1702Standards for health plan premium payments transaction.
§ 162.1801Coordination of benefits transaction.
§ 162.1802Standards for coordination of benefits information transaction.
§ 162.1901Medicaid pharmacy subrogation transaction.
§ 162.1902Standard for Medicaid pharmacy subrogation transaction.