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Under HIPAA, HIPAA-covered health plans are now required to use standardized HIPAA electronic transactions. See, 42 USC § 1320d-2 and 45 CFR Part 162. Information about this can be found in the final rule for HIPAA electronic transaction standards (74 Fed. Reg. 3296, published in the Federal Register on January 16, 2009), and on the CMS ...
According to HIPAA, the covered entities that must follow the law's set mandates are health plans, health care clearinghouses, and health care providers that electronically transmit PHI. Business associates of these covered entities are also subject to HIPAA's rules and regulations.
Protected health information (PHI) under U.S. law is any information about health status, provision of health care, or payment for health care that is created or collected by a Covered Entity (or a Business Associate of a Covered Entity), and can be linked to a specific individual.
HIPAA sets the standard for protecting sensitive patient data held by health care providers, insurance companies, and their business associates. [110] The Federal Trade Commission plays a crucial role in enforcing federal privacy laws that protect consumer privacy and security, particularly in commercial practices.
PEOs administer employee benefit plans that meet Employment Retirement Income Security Act standards. Health Insurance Portability and Accountability Act (HIPAA) policy assistance, risk ...
The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.
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