SW Benefits Update - HIPAA Requires Many Health Plans to Obtain a Health Plan Identifier by November 5, 2014


by Marvin S. (Bucky) Swift, Jr. and Nick J. Welle

On September 5, 2012, the Department of Health and Human Services (HHS) issued final regulations adopting a standard for a national unique “health plan identifier” (HPID) and providing rules for implementing the HPID. Health plans are currently identified by several different number sets, depending on the source. For example, health plans may be identified by an IRS tax identification number, an employer identification number, the National Association of Insurance Commissioner code, the various identifiers for Forms 5500 or the proprietary descriptors used by clearinghouses.

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