HIPAA is an acronym for the Health Insurance Portability and Accountability Act of 1996. The HIPAA law was enacted to improve the efficiency and effectiveness of the American health care system. The law includes administrative simplification provisions to establish standards and requirements for the electronic transmission of certain health care information. It also requires organizations exchanging information for health care transactions to follow national implementation guidelines.
To meet these goals, federal transaction and code set rules have been issued:
HIPAA is a legislative act made up of these five titles:
Highmark completed the transition to version 005010 for all HIPAA mandated transaction on Jan. 1, 2012.
As of Jan. 1, 2012, we only accept and send approved errata versions of the impacted 005010 transactions between HIPAA-covered entities in accordance with the U.S. Department of Health and Human Services (HHS) regulations. HIPAA-covered entities include health care providers, clearinghouses and health plans.
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