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Operating Rules for Eligibility and Claims Status

CMS-0032-IFC Notice to Industry Wednesday, December 7, 2011: The Interim Final Rule that adopts operating rules for the eligibility for a health plan and health care claim transactions is a final rule that is in effect now.  Plans to implement the operating rules should be underway.  You can view the full announcement.

CMS-0032-IFC:  HHS adopts operating rules for eligibility for a health plan and health care claim status transactions, June 30, 2011.  You can view the press release, interim final rule, and eligibility and claim status operating rules and implementation tools (CORE) for more information.

A new FAQ on the applicability of Eligibility and Claim Status Operating Rules on e-prescribing has been posted.