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Standards for Electronic Transactions and Code Sets

 

Final Standard for Electronic Transactions and Code Sets, 8/17/2000

PDF [473 K]

Corrections to the Final Standard, 11/24/2000

Transactions and Code Sets Guide, from HIPAAdvisory.com

Modifications to Standards for Electronic Transactions and Code Sets, 2/20/2003

PDF [180 K]

Preamble

Summary and Introduction
Background
General Overview of the Provisions of the Proposed Rule
Analysis of, and Responses to, Public Comments on the Proposed Rule
Summary of Changes to the Regulations
Collection of Information Requirements
Final Impact Analysis
Federalism
Interaction with Privacy

Regulation

PART 160 – GENERAL ADMINISTRATIVE REQUIREMENTS

Subpart A – General Provisions

PART 162 - ADMINISTRATIVE REQUIREMENTS

Subpart A - General Provisions

Subpart I - General Provisions for Transactions

Subpart J - Code Sets

Subpart K - Health Care Claims or Equivalent Encounter Information

Subpart L - Eligibility for a Health Plan

Subpart M - Referral Certification and Authorization

Subpart N - Health Care Claim Status

Subpart O - Enrollment and Disenrollment in a Health Plan

Subpart P - Health Care Payment and Remittance Advice

Subpart Q - Health Plan Premium Payments

Subpart R - Coordination of Benefits

 

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