| Name |
Explanation |
Transactions and
Code Sets |
Establishes a standard electronic format for
billing and other common administrative transactions. Includes
standards for reporting diagnoses and procedures in the
transactions.
The compliance deadline for this set of regulations is October
2002. The Department of Health and Human Services granted
a one-year extension to those who filed a “compliance
plan” before the deadline.
|
| Privacy |
Establishes standards aimed at guarding
the privacy of health information.
|
| National Provider ID |
Assigns every health care provider a unique
identifier to be used in filing electronic claims for reimbursement
by insurance.
|
| National Employer ID |
Assigns every employer in the health care
industry a unique ID number.
|
| Security |
Establishes security standards protecting
health information when it is kept or transmitted in electronic
form. Includes technical guidance as well as administrative
requirements for those who use electronic health information.
Also includes an electronic signature standard.
|
| National Health Plan Identifier |
Assigns every health plan a unique identifier.
|
| Claims Attachments |
Establishes a single standard electronic
format for attachments to billing forms for services.
|
| Enforcement |
Establishes guidelines and standards for
enforcement.
|
| National Individual ID |
Establishes a unique health identifier number
for each individual American.
|
