START AT PG 57
SEC. 163. ADMINISTRATIVE SIMPLIFICATION
AND READ DOWNWARD TO PG 58!
STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
"‘‘(D) enable the real-time (or near real
6 time) determination of an individual’s financial
7 responsibility at the point of service and, to the
8 extent possible, prior to service, including
9 whether the individual is eligible for a specific
10 service with a specific physician at a specific fa11
cility, which may include utilization of a ma12
chine-readable health plan beneficiary identi13
fication card;
14 ‘‘(E) enable, where feasible, near real-time
15 adjudication of claims;
16 ‘‘(F) provide for timely acknowledgment,
17 response, and status reporting applicable to any
18 electronic transaction deemed appropriate by
19 the Secretary;"
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