StacksVerified U.S. regulatory reference

45 CFR §162.1401

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov
The health care claim status transaction is the transmission of either of the following:
  1. (a)An inquiry from a health care provider to a health plan to determine the status of a health care claim.
  2. (b)A response from a health plan to a health care provider about the status of a health care claim.