Administrative Requirements

  1. Law
  2. CFR 45
  3. Public Welfare
  4. Department of Health and Human Services
  5. Administrative Data Standards and Related Requirements
  6. Administrative Requirements

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Subpart
A

General Provisions

Subpart
B-C

Subparts B-C [Reserved]

Subpart
D

Standard Unique Health Identifier for Health Care Providers

Subpart
E

Subpart E [Reserved]

Subpart
F

Standard Unique Employer Identifier

Subpart
G-H

Subparts G-H [Reserved]

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 Electronic Funds Transfers (EFT) and Remittance Advice

Subpart
Q

Health Plan Premium Payments

Subpart
R

Coordination of Benefits

Subpart
S

Medicaid Pharmacy Subrogation