Payment

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FAU-C The activities undertaken by a:

  1. Health plan, except as prohibited under 45 CFR §164.502 (a)(5)(i)(e.g., use and disclosure of genetic information for underwriting purposes), to obtain premiums or to determine or fulfill its responsibility for coverage and provision of benefits under the health plan (as further described in §164.501) ; or
  2. A health care provider or health plan to obtain or provide reimbursement for the provision of health care.