Monday, July 21, 2014

How to Obtain a Health Plan Identifier (HPID) Under HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) requires the Department of Health and Human Services (HHS) to adopt standards for certain transactions to promote the efficient and uniform transmission of health information. One of the standards is a unique identifier for health plans.
The primary purpose of the Health Plan Identifier (HPID) is for use in standard transactions. In standard transactions, the HPID replaces proprietary health plan identifiers that vary in lengths and formats. The HPID is a 10-digit, all numeric code similar to a credit card number.
In addition, information about health plans and their HPIDs will be available in a public database to facilitate the routing of transactions.
The deadline for health plans, except small health plans, to obtain their HPIDs is Nov. 5, 2014. Small health plans (those with annual gross receipts of $5 million or less) have an additional year to comply, until Nov. 5, 2015.
For assistance in obtaining a Health Plan Identifier, view our Step by Step Guide, which provides an overview of HPID information, as well as step by step instructions for the application process. A System Overview for HPID as well as OEID has been published through the Centers for Medicare & Medicaid Services (CMS), and is also available on their website.
For additional information, please contact your Senn Dunn Employee Benefits Consultant.

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