Health Insurance Reform Modifications to the HIPAA Electronic Transaction Standards

• Date: February 15, 2010
• Source: www.gpo.gov

This final rule adopts updated versions of the standards for electronic transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule also adopts a transaction standard for Medicaid pharmacy subrogation. In addition, this final rule adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the ‘‘senders’’ and ‘‘receivers’’ are in the descriptions of certain transactions.

These regulations are effective March 17, 2009 except for the provisions of 45 CFR part 162 Subpart S, which are effective January 1, 2010.

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