[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: 45CFR162.1802]

[Page 683]
 
                        TITLE 45--PUBLIC WELFARE
 
                    SUBTITLE A--DEPARTMENT OF HEALTH
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
                   Subpart R--Coordination of Benefits
 
Sec. 162.1802  Standards for coordination of benefits.

    The Secretary adopts the following standards for the coordination of 
benefits information transaction:
    (a) Retail pharmacy drug claims. 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 claims. The ASC X12N 837--Health Care Claim: Dental, 
Version 4010, May 2000, Washington Publishing Company, 004010X097. The 
implementation specification is available at the addresses specified in 
Sec. 162.920(a)(1).
    (c) Professional health care claims. The ASC X12N 837--Health Care 
Claim: Professional, Volumes 1 and 2, Version 4010, May 2000, Washington 
Publishing Company, 004010X098. The implementation specification is 
available at the addresses specified in Sec. 162.920(a)(1).
    (d) Institutional health care claims. The ASC X12N 837--Health Care 
Claim: Institutional, Volumes 1 and 2, Version 4010, May 2000, 
Washington Publishing Company, 004010X096. The implementation 
specification is available at the addresses specified in 
Sec. 162.920(a)(1).

                          PART 163  [RESERVED]