45 C.F.R. § 162.1301

Current through October 31, 2024
Section 162.1301 - Referral certification and authorization transaction

The referral certification and authorization transaction is any of the following transmissions:

(a) A request from a health care provider to a health plan for the review of health care to obtain an authorization for the health care.
(b) A request from a health care provider to a health plan to obtain authorization for referring an individual to another health care provider.
(c) A response from a health plan to a health care provider to a request described in paragraph (a) or paragraph (b) of this section.

45 C.F.R. §162.1301

74 FR 3326 , Jan. 16, 2009