§162.1403. Operating rules for health care claim status transaction.
45 C.F.R. § 162.1403
On and after January 1, 2013, the Secretary adopts the following:
Except as specified in paragraph (b) of this section, the following CAQH CORE Phase II operating rules (updated for Version 5010) for the health care claim status transaction:
Phase II CORE 250— Claim Status Rule, version 2.1.0, March 2011, and CORE v5010 Master Companion Guide, 00510, 1.2, March 2011. (Incorporated by reference in § 162.920).
Phase II CORE 270— Connectivity Rule, version 2.2.0, March 2011. (Incorporated by reference in § 162.920).
Excluding where the CAQH CORE rules reference and pertain to acknowledgements and CORE certification.
Notes, amendments, and revision history
Amendments
[76 FR 40496, July 8, 2011]
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
[76 FR 40496, July 8, 2011]