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.
[74 FR 3326, Jan. 16, 2009]
authority: 42 U.S.C. 1320d—1320d-9 and secs. 1104 and 10109 of Pub. L. 111-148, 124 Stat. 146-154 and 915-917
source: 65 FR 50367, Aug. 17, 2000, unless otherwise noted.
cite as: 45 CFR 162.1401