The Centers for Medicare and Medicaid Services has issued an interim final rule to adopt the first two in a series of "operating rules" that will tighten and make more uniform the HIPAA standards for electronic administrative/financial transactions.
Adoption of operating rules between 2013 and 2016 is mandated under the Affordable Care Act. Under the interim final rule, available here and being officially published on July 8, CMS adopts the CORE operating rules for the insurance eligibility verification/benefit determination and claim status transactions.
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