[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR162.1601]

[Page 705]
 
                        TITLE 45--PUBLIC WELFARE
 
                           AND HUMAN SERVICES
 
PART 162--ADMINISTRATIVE REQUIREMENTS--Table of Contents
 
          Subpart P--Health Care Payment and Remittance Advice
 
Sec. 162.1601  Health care payment and remittance advice transaction.


    The health care payment 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's financial institution:
    (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.