[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: 45CFR162.1102]

[Page 680-681]
 
                        TITLE 45--PUBLIC WELFARE
 
                    SUBTITLE A--DEPARTMENT OF HEALTH
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
    Subpart K--Health Care Claims or Equivalent Encounter Information
 
Sec. 162.1102  Standards for health care claims or equivalent encounter information.

    The Secretary adopts the following standards for the health care 
claims or equivalent encounter information transaction:
    (a) Retail pharmacy drug claims. The National Council for 
Prescription Drug Programs (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 Health Care Claims. The ASC X12N 837--Health Care Claim: 
Dental, Version 4010, May 2000, Washington Publishing Company,

[[Page 681]]

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).