GroundRules
45 CFR 162.412: Implementation specifications: Health plans.
Where this section sits in the code
- Title 45—Public Welfare
- SUBTITLE A—Department of Health and Human Services
- SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS
- PART 162—ADMINISTRATIVE REQUIREMENTS
- Subpart D—Standard Unique Health Identifier for Health Care Providers
(a) A health plan must use the NPI of any health care provider (or subpart(s), if applicable) that has been assigned an NPI to identify that health care provider on all standard transactions where that health care provider's identifier is required.
(b) A health plan may not require a health care provider that has been assigned an NPI to obtain an additional NPI.
Collected 2026-08-27T02:26:21Z. Source file · JSON