45 CFR § 162.412 Administrative Requirements

§ 162.412 Implementation specifications: Health plans.

Current through Aug 10, 2026 · Read all of Part 162

(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.

← § 162.410 Implementation specifications: Health care providers.§ 162.414 Implementation specifications: Health care clearinghouses. →