§162.1601. Health care electronic funds transfers (EFT) and remittance advice transaction.

45 C.F.R. § 162.1601

The health care electronic funds transfers (EFT) and remittance advice transaction is the transmission of either of the following for health care:

(a)

The transmission of any of the following from a health plan to a health care provider—

(1)

Payment.

(2)

Information about the transfer of funds.

(3)

Payment processing information.

(b)

The transmission of either of the following from a health plan to a health care provider—

(1)

Explanation of benefits.

(2)

Remittance advice.

Notes, amendments, and revision history

[65 FR 50367, Aug. 17, 2000, as amended at 77 FR 1590, Jan. 10, 2012; 77 FR 48043, Aug. 10, 2012]

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

[65 FR 50367, Aug. 17, 2000, as amended at 77 FR 1590, Jan. 10, 2012; 77 FR 48043, Aug. 10, 2012]