45 CFR 162.412 - Implementation specifications: Health plans.

Regulations last checked for updates: May 01, 2025

Title 45 - Public Welfare last revised: Apr 23, 2025

View all text of Subpart D [§ 162.402 - § 162.414]

§ 162.412 - Implementation specifications: Health plans.

(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.

authority: 42 U.S.C. 1320d—1320d-9 and secs. 1104 and 10109 of Pub. L. 111-148, 124 Stat. 146-154 and 915-917

source: 65 FR 50367, Aug. 17, 2000, unless otherwise noted.

cite as: 45 CFR 162.412