Mandated Operating Rules
Use the links below to learn more about the health reform mandate for administrative simplification operating rules.
- Claim Status and Eligibility
- EFT and ERA
- Healthcare Claims or Equivalent Encounter Information, Enrollment/Disenrollment in a Health Plan, Health Plan Premium Payments, Referral Certification and Authorization, and Claim Attachments
- Timeline and CORE-Related Activities
- CORE State-Level Information
- Federal Imperatives