{"abstract":"This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2000/08/17/00-20820.html","cfr_references":[{"chapter":null,"citation_url":null,"part":160,"title":45},{"chapter":null,"citation_url":null,"part":162,"title":45}],"citation":"65 FR 50312","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The effective date of this rule is October 16, 2000. The incorporation by reference of certain publications listed in this rule is approved by the Director of the Federal Register as of October 16, 2000.","disposition_notes":null,"docket_ids":["HCFA-0149-F"],"dockets":[],"document_number":"00-20820","effective_on":"2000-10-16","end_page":50372,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/08/17/00-20820.xml","html_url":"https://www.federalregister.gov/documents/2000/08/17/00-20820/health-insurance-reform-standards-for-electronic-transactions","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/00-20820?publication_date=2000-08-17","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-08-17/00-20820/mods.xml","not_received_for_publication":null,"page_length":61,"page_views":{"count":4482,"last_updated":"2026-04-09 08:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-08-17/pdf/00-20820.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-08-17","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/08/17/00-20820.txt","regulation_id_number_info":{"0938-AI58":{"issue":"200004","html_url":"https://www.federalregister.gov/regulations/0938-AI58/health-insurance-reform-standards-for-electronic-transactions-hcfa-0149-f-","title":"Health Insurance Reform: Standards for Electronic Transactions (HCFA-0149-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200004&RIN=0938-AI58&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AI58"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":50312,"subtype":null,"title":"Health Insurance Reform: Standards for Electronic Transactions","toc_doc":"Health Insurance Portability and Accountibility Act of 11996; electronics transaction standards; health insurance reform","toc_subject":"Medicare and Medicaid:","topics":["Administrative practice and procedure","Health","Health care","Health facilities","Health insurance","Health records","Hospitals","Incorporation by reference","Medicaid","Medical research","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":65}