45 CFR § 162.930 Administrative Requirements

§ 162.930 Additional rules for health care clearinghouses.

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

When acting as a business associate for another covered entity, a health care clearinghouse may perform the following functions:

(a) Receive a standard transaction on behalf of the covered entity and translate it into a nonstandard transaction (for example, nonstandard format and/or nonstandard data content) for transmission to the covered entity.

(b) Receive a nonstandard transaction (for example, nonstandard format and/or nonstandard data content) from the covered entity and translate it into a standard transaction for transmission on behalf of the covered entity.

← § 162.925 Additional requirements for health plans.§ 162.940 Exceptions from standards to permit testing of proposed modifications. →