45 CFR 162.1403
§ 162.1403 Operating rules for health care claim status transaction.
United States · 45 CFR — Public Welfare · Status: effective
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- Citation
- 45 CFR 162.1403, § 162.1403 Operating rules for health care claim status transaction, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/218035
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Full text
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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.