[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: 45CFR162.920]

[Page 676-677]
 
                        TITLE 45--PUBLIC WELFARE
 
                    SUBTITLE A--DEPARTMENT OF HEALTH
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
             Subpart I--General Provisions for Transactions
 
Sec. 162.920  Availability of implementation specifications.

    (a) Access to implementation specifications. A person or 
organization may request copies (or access for inspection) of the 
implementation specifications for a standard described in subparts K 
through R of this part by identifying the standard by name, number, and 
version. The implementation specifications are available as follows:
    (1) ASC X12N specifications. The implementation specifications for 
ASC X12N standards may be obtained from the Washington Publishing 
Company, PMB 161, 5284 Randolph Road, Rockville, MD, 20852-2116; 
telephone 301-949-9740; and FAX: 301-949-9742. They are

[[Page 677]]

also available through the Washington Publishing Company on the Internet 
at http://www.wpc-edi.com. The implementation specifications are as 
follows:
    (i) The ASC X12N 837--Health Care Claim: Dental, Version 4010, May 
2000, Washington Publishing Company, 004010X097, as referenced in 
Secs. 162.1102 and 162.1802.
    (ii) The ASC X12N 837--Health Care Claim: Professional, Volumes 1 
and 2, Version 4010, May 2000, Washington Publishing Company, 
004010X098, as referenced in Secs. 162.1102 and 162.1802.
    (iii) The ASC X12N 837--Health Care Claim: Institutional, Volumes 1 
and 2, Version 4010, May 2000, Washington Publishing Company, 
004010X096, as referenced in Secs. 162.1102 and 162.1802.
    (iv) The ASC X12N 270/271--Health Care Eligibility Benefit Inquiry 
and Response, Version 4010, May 2000, Washington Publishing Company, 
004010X092, as referenced in Sec. 162.1202.
    (v) The ASC X12N 278--Health Care Services Review--Request for 
Review and Response, Version 4010, May 2000, Washington Publishing 
Company, 004010X094, as referenced in Sec. 162.1302.
    (vi) The ASC X12N 276/277 Health Care Claim Status Request and 
Response, Version 4010, May 2000, Washington Publishing Company, 
004010X093, as referenced in Sec. 162.1402.
    (vii) The ASC X12N 834--Benefit Enrollment and Maintenance, Version 
4010, May 2000, Washington Publishing Company, 004010X095, as referenced 
in Sec. 162.1502.
    (viii) The ASC X12N 835--Health Care Claim Payment/Advice, Version 
4010, May 2000, Washington Publishing Company, 004010X091, as referenced 
in Sec. 162.1602.
    (ix) The ASC X12N 820--Payroll Deducted and Other Group Premium 
Payment for Insurance Products, Version 4010, May 2000, Washington 
Publishing Company, 004010X061, as referenced in Sec. 162.1702.
    (2) Retail pharmacy specifications. The implementation 
specifications for all retail pharmacy standards may be obtained from 
the National Council for Prescription Drug Programs (NCPDP), 4201 North 
24th Street, Suite 365, Phoenix, AZ, 85016; telephone 602-957-9105; and 
FAX 602-955-0749. It may also be obtained through the Internet at http:/
/www.ncpdp.org. The implementation specifications are as follows:
    (i) The Telecommunication Standard Implementation Guide, Version 5 
Release 1, September 1999, National Council for Prescription Drug 
Programs, as referenced in Secs. 162.1102, 162.1202, 162.1602, and 
162.1802.
    (ii) The Batch Standard Batch Implementation Guide, Version 1 
Release 0, February 1, 1996, National Council for Prescription Drug 
Programs, as referenced in Secs. 162.1102, 162.1202, 162.1602, and 
162.1802.
    (b) Incorporations by reference. The Director of the Office of the 
Federal Register approves the implementation specifications described in 
paragraph (a) of this section for incorporation by reference in subparts 
K through R of this part in accordance with 5 U.S.C. 552(a) and 1 CFR 
part 51. A copy of the implementation specifications may be inspected at 
the Office of the Federal Register, 800 North Capitol Street, NW, Suite 
700, Washington, DC.