Resources for Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Reform: Standards for Electronic Transactions; Announcement of Designated Standard Maintenance Organizations; Final Rule and Notice

CMS

This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health
care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the
administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Adminisrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996

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