45 Public Welfare 1 2007-10-01 2007-10-01 false Referral certification and authorization transaction. 162.1301 Section 162.1301 Public Welfare DEPARTMENT OF HEALTHAND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Referral Certification and Authorization
ยง 162.1301 Referral certification and authorization transaction.

The referral certification and authorization transaction is any of the following transmissions:

(a) A request for the review of health care to obtain an authorization for the health care.

(b) A request to obtain authorization for referring an individual to another health care provider.

(c) A response to a request described in paragraph (a) or paragraph (b) of this section.