[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2001]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR162.1602]
[Page 682]
TITLE 45--PUBLIC WELFARE
SUBTITLE A--DEPARTMENT OF HEALTH
AND HUMAN SERVICES
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
Subpart P--Health Care Payment and Remittance Advice
Sec. 162.1602 Standards for health care payment and remittance advice.
The Secretary adopts the following standards for the health care
payment and remittance advice transaction:
(a) 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. The implementation
specifications are available at the addresses specified in
Sec. 162.920(a)(2).
(b) 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. The
implementation specification is available at the addresses specified in
Sec. 162.920(a)(1).