45 CFR 162.1401
§ 162.1401 Health care claim status transaction.
United States · 45 CFR — Public Welfare · Status: effective
Cite this
- Citation
- 45 CFR 162.1401, § 162.1401 Health care claim status transaction, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/218033
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Full text
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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.