11 NCAC 12 .1506             ELECTRONIC FORMAT STANDARDS

(a)  As used in this Rule, "ASC X12 Standard Format" means the standards for electronic data interchange within the health care provider industry developed by the Accredited Standards Committee X12 Insurance Subcommittee of the American National Standards Institute.

(b)  Payors and health care providers that receive or generate claims or send payments by electronic means shall, by October 1, 1996, accept or generate the appropriate ASC X12 Standard Format for their health care claims submission and remittance transactions.  Until the appropriate ASC X12 interactive transaction is approved for implementation, the current standards of the National Council for Prescription Drug Programs shall be the standard format.

 

History Note:        Authority G.S. 58‑2‑40; 58‑3‑171;

Eff. October 1, 1994.