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Federal regulations · Through 2026-08-25 · Newer source version available

45 CFR 162.1401: Health care claim status transaction.

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Where this section sits in the code
  1. Title 45—Public Welfare
  2. SUBTITLE A—Department of Health and Human Services
  3. SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS
  4. PART 162—ADMINISTRATIVE REQUIREMENTS
  5. Subpart N—Health Care Claim Status

The health care claim status transaction is the transmission of either of the following:

(a) An inquiry from a health care provider to a health plan to determine the status of a health care claim.

(b) A response from a health plan to a health care provider about the status of a health care claim.

Collected 2026-08-27T02:26:21Z. Source file · JSON

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