Health Information Management

Healthcare News: CMS adopts HIPAA unique health plan identifier

JustCoding News: Outpatient, September 5, 2012

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Providers will now soon need only one unique health plan identifier (HPID) when billing insurance companies. CMS finalized the Administrative Simplification: Adoption of Standard for Unique Health Plan Identifier rule released August 24.

Currently, health plans may use a wide range of different identifiers without a standard format. That leads to misrouting of transactions, rejection of transactions due to insurance identification errors, and difficulty determining patient eligibility. The HPID will reduce these problems, according to CMS.
 
Health plans with the exception of small health plans must obtain an HPID by November 5, 2014, according to the rule. Small health plans have an additional year to obtain an HPID.
 
A display copy of the rule is available on the Federal Register website. The rule is scheduled to be published in the September 5 Federal Register.



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