NRPM: Standard Health Care Provider Identifier. § 142.105 Compliance using a health care clearinghouse.


(a) Any person or other entity subject to the requirements of this part may meet the requirements to accept and transmit standard transactions by either--

(1) Transmitting and receiving standard data elements, or

(2) Submitting nonstandard data elements to a health care clearinghouse for processing into standard data elements and transmission by the health care clearinghouse and receiving standard data elements through the health care clearinghouse.

(b) The transmission, under contract, of nonstandard data elements between a health plan or a health care provider and its agent health care clearinghouse is not a violation of the requirements of this part.