1. Regulations
  2. title 45
  3. chapter A-i1
  4. part 162
  5. subpart P
  6. § 162.1601

View all text of Subpart P [§ 162.1601 - § 162.1603]

§ 162.1601 - Health care electronic funds transfers (EFT) and remittance advice transaction.

The health care electronic funds transfers (EFT) and remittance advice transaction is the transmission of either of the following for health care:

(a) The transmission of any of the following from a health plan to a health care provider:

(1) Payment.

(2) Information about the transfer of funds.

(3) Payment processing information.

(b) The transmission of either of the following from a health plan to a health care provider:

(1) Explanation of benefits.

(2) Remittance advice.

[65 FR 50367, Aug. 17, 2000, as amended at 77 FR 1590, Jan. 10, 2012; 77 FR 48043, Aug. 10, 2012]

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 162.1601