List of Subjects in 45 CFR. Part 162 - Administrative Requirements


Subpart A - General Provisions


162.100 Applicability.

162.103 Definitions.

Subparts B - H [RESERVED]

Subpart I - General Provisions for Transactions

162.900 Compliance dates of the initial implementation of the code sets and transaction standards.

162.910 Maintenance of standards and adoption of modifications and new standards.

162.915 Trading partner agreements.

162.920 Availability of implementation specifications.

162.923 Requirements for covered entities.

162.925 Additional requirements for health plans.

162.930 Additional rules for health care clearinghouses.

162.940 Exceptions from standards to permit testing of proposed modifications.

Subpart J - Code Sets

162.1000 General requirements.

162.1002 Medical data code sets.

162.1011 Valid code sets.

Subpart K - Health Care Claims or Equivalent Encounter Information

162.1101 Health care claims or equivalent encounter information transaction.

162.1102 Standards for health care claims or equivalent encounter information.

Subpart L - Eligibility for a Health Plan

162.1201 Eligibility for a health plan transaction.

162.1202 Standards for eligibility for a health plan.

Subpart M - Referral Certification and Authorization

162.1301 Referral certification and authorization transaction.

162.1302 Standard for referral certification and authorization.

Subpart N - Health Care Claim Status

162.1401 Health care claim status transaction.

162.1402 Standard for health care claim status.

Subpart O - Enrollment and Disenrollment in a Health Plan

162.1501 Enrollment and disenrollment in a health plan transaction.

162.1502 Standard for enrollment and disenrollment in a health plan.

Subpart P - Health Care Payment and Remittance Advice

162.1601 Health care payment and remittance advice transaction.

162.1602 Standards for health care payment and remittance advice.

Subpart Q - Health Plan Premium Payments

162.1701 Health plan premium payments transaction.

162.1702 Standard for health plan premium payments.

Subpart R - Coordination of Benefits

162.1801 Coordination of benefits transaction.

162.1802 Standards for coordination of benefits.

Authority: Secs. 1171 through 1179 of the Social Security Act (42 U.S.C. 1320d - 1320d-8), as added by sec. 262 of Pub. L. 104-191, 110 Stat. 2021-2031, and sec. 264 of Pub. L. 104-191, 110 Stat. 2033-2034 (42 U.S.C. 1320d-2 (note)).