HF 3372

FOURTH ENGROSSMENT

Uniform billing and electronic claim filing provisions changed and compliance procedures for electronic transactions established.

Section 1: Uniform billing form CMS 1450 language is modified.

Section 2: Uniform billing form CMS 1500 language is modified.

Section 3: Uniform billing form CMS 1450 language is modified.

Section 4: Uniform billing form CMS 1500 language is modified.

Section 5: Uniform pharmacy billing form language is modified.

Section 6: Electronic claims and eligibility transactions required language is modified.

Section 7: Group purchasers not covered by HIPAA language is added.

Section 8: Compliance and investigations language is added.

Section 9: Implementation of NCPDP telecommunications standard for pharmacy claims language is modified.

Section 10: Standards for claim filing and handling language is modified.

Section 11: Repealer language is modified.

SNA 5/9/08