§ 162.1403 - Operating rules for health care claim status transaction.


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  • § 162.1403 Operating rules for health care claim status transaction.

    On and after January 1, 2013, the Secretary adopts the following:

    (a) Except as specified in paragraph (b) of this section, the following CAQH CORE Phase II operating rules (updated for Version 5010) for the health care claim status transaction:

    (1) Phase II CORE 250: Claim Status Rule, version 2.1.0, March 2011, and CORE v5010 Master Companion Guide, 00510, 1.2, March 2011. (Incorporated by reference in § 162.920).

    (2) Phase II CORE 270: Connectivity Rule, version 2.2.0, March 2011. (Incorporated by reference in § 162.920).

    (b) Excluding where the CAQH CORE rules reference and pertain to acknowledgements and CORE certification.

    [76 FR 40496, July 8, 2011]