[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR162.1602]

[Page 728]
 
                        TITLE 45--PUBLIC WELFARE
 
                    SUBTITLE A--DEPARTMENT OF HEALTH
                         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 
transaction.

    The Secretary adopts the following standards for the health care 
payment and remittance advice transaction.
    (a) For the period from October 16, 2002 through October 15, 2003:
    (1) 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. (Incorporated by reference 
in Sec. 162.920).
    (2) 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. 
(Incorporated by reference in Sec. 162.920).
    (b) For the period on and after October 16, 2003: Health care claims 
and remittance advice. The ASC X12N 835--Health Care Claim Payment/
Advice, Version 4010, May 2000, Washington Publishing Company, 
004010X091, and Addenda to Health Care Claim Payment/Advice, Version 
4010, October 2002, Washington Publishing Company, 004010X091A1. 
(Incorporated by reference in Sec. 162.920).

[68 FR 8398, Feb. 20, 2003]