CFR /  Title 45  /  Part 162  /  Sec. 162.1401 Health care claim status transaction.

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]