[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR162.1602]

[Page 683-684]
 
                        TITLE 45--PUBLIC WELFARE
 
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
          Subpart P--Health Care Payment and Remittance Advice
 
Sec. 162.1602  Standards for health care payment and remittance advice.

    The Secretary adopts the following standards for the health care 
payment and remittance advice transaction:

[[Page 684]]

    (a) Retail pharmacy drug claims and remittance advice. 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 health care claims and 
remittance advice. The ASC X12N 835--Health Care Claim Payment/Advice, 
Version 4010, May 2000, Washington Publishing Company, 004010X091. The 
implementation specification is available at the addresses specified in 
Sec. 162.920(a)(1).