[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: 45CFR162.1202]

[Page 681]
 
                        TITLE 45--PUBLIC WELFARE
 
                    SUBTITLE A--DEPARTMENT OF HEALTH
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
                Subpart L--Eligibility for a Health Plan
 
Sec. 162.1202  Standards for eligibility for a health plan.

    The Secretary adopts the following standards for the eligibility for 
a health plan transaction:
    (a) Retail pharmacy drugs. 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. The ASC X12N 270/271-
Health Care Eligibility Benefit Inquiry and Response, Version 4010, May 
2000, Washington Publishing Company, 004010X092. The implementation 
specification is available at the addresses specified in 
Sec. 162.920(a)(1).