---
kind: "section"
citation: "45 C.F.R. § 162.1301"
title: "45"
number: "162.1301"
heading: "Referral certification and authorization transaction."
url: "https://uscodex.org/cfr/45/162.1301"
---

# §162.1301. Referral certification and authorization transaction.


The referral certification and authorization transaction is any of the following transmissions:

- (a) A request from a health care provider to a health plan for the review of health care to obtain an authorization for the health care.
- (b) A request from a health care provider to a health plan to obtain authorization for referring an individual to another health care provider.
- (c) A response from a health plan to a health care provider to a request described in [paragraph (a)](#a) or [paragraph (b)](#b) of this section.

## Notes

### Amendments

[74 FR 3326, Jan. 16, 2009]

### Authority

Authority: 42 U.S.C. 1320d—1320d-9 and secs. 1104 and 10109 of Pub. L. 111-148, 124 Stat. 146-154 and 915-917.

### Source

Source: 65 FR 50367, Aug. 17, 2000, unless otherwise noted.

### Amendments

[74 FR 3326, Jan. 16, 2009]