Notice of Proposed Rule Making for
Standards for Electronic Transactions

Public comment period ended July 6, 1998.

View NPRM as Published in the Federal Register:

  • The NPRM may be found on the Government Printing Office server and viewed as [ TEXT ]or [ PDF ]
  • The NPRM may also be found on this server and viewed as [ TEXT ]or [ PDF ]
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Read NPRM, by Section
Summary and Introduction
Background
Provisions of the Proposed Regulations
Data Content
Code Sets
Transaction Standards
Health Claims or Equivalent Encounter Information
Health Care Payment and Remittance Advice
Coordination of Benefits
Health Claim Status
Enrollment and Disenrollment in a Health Plan
Eligibility for a Health Plan
Health Plan Premium Payment
Referral Certification and Authorization
First Report of Injury
Implementation of Transaction Standards and Code Sets
New and Revised Standards
Collection of Information Requirements
Impact Analysis
Regulation Text
Addendum 1--Health Claims or Equivalent Encounter Information
Addendum 2--Health Care Payment and Remittance Advice
Addendum 3--Coordination of Benefits
Addendum 4--Health Claim Status
Addendum 5--Benefit Enrollment and Maintenance
Addendum 6--Eligibility for a Health Plan
Addendum 7--Health Plan Premium Payment
Addendum 8--Referral Certification and Authority
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Updated 11/4/99.