1. LawStack
  2. Title 45 - Public Welfare
  3. Chapter I - DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter C - ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS
  5. Part 162 - ADMINISTRATIVE REQUIREMENTS
  6. Subpart D - Standard Unique Health Identifier for Health Care Providers
  7. 45 CFR § 162.412
45 CFR § 162.412
Implementation specifications: Health plans
April 14, 2021
CFR

(a) A health plan must use the NPI of any health care provider (or subpart(s), if applicable) that has been assigned an NPI to identify that health care provider on all standard transactions where that health care provider's identifier is required.

(b) A health plan may not require a health care provider that has been assigned an NPI to obtain an additional NPI.

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§ 162.410 Implementation specifications: Health care providers
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§ 162.414 Implementation specifications: Health care clearinghouses

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