HIPAA Unique Identifiers standards authority

E717991

The HIPAA Unique Identifiers standards authority is the regulatory framework that defines and governs standardized identification codes for healthcare providers, health plans, employers, and related entities in the U.S. to support secure and efficient electronic health transactions.

All labels observed (5)

How this entity was disambiguated

Statements (46)

Predicate Object
instanceOf HIPAA standard
regulatory framework
aimsTo enhance accuracy of health data exchange
improve efficiency of electronic health care transactions
reduce administrative costs
support secure electronic transactions
appliesTo United States
covered entities
health care clearinghouses
health care providers that conduct HIPAA transactions electronically
health plans
contributesTo interoperability of health information systems
reduction of duplicate provider identifiers
streamlined claims processing
defines standard unique identifier for employers
standard unique identifier for health care providers
standard unique identifier for health plans
standard unique identifier for individuals (not implemented)
establishesRequirementFor unique identifiers in standard electronic transactions
governedBy U.S. Department of Health and Human Services
hasLegalBasisIn HIPAA Administrative Simplification provisions
Health Insurance Portability and Accountability Act
implementedThrough 45 CFR Part 162
HHS regulations
monitoredBy Centers for Medicare & Medicaid Services
regulates employers identifiers
health plans identifiers
healthcare providers identifiers
standardized identification codes
relatedTo HIPAA Privacy Rule
HIPAA Security Rule
HIPAA Transactions and Code Sets standards
requiresUseOf Employer Identification Number for employer identification in transactions
National Provider Identifier in standard transactions
scopeIncludes claims
eligibility inquiries
referrals and authorizations
remittance advices
standardizes identification of employers in health transactions
identification of health plans
identification of providers across health plans
supports administrative simplification
electronic health transactions
usesIdentifierSystem Employer Identification Number
Health Plan Identifier (deprecated for most uses)
National Provider Identifier

How these facts were elicited

Referenced by (5)

Full triples — surface form annotated when it differs from this entity's canonical label.

Public Law 104-191 creates HIPAA Unique Identifiers standards authority
Title II – Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability Reform basisFor HIPAA Unique Identifiers standards
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority usesIdentifierSystem National Provider Identifier
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority requiresUseOf National Provider Identifier in standard transactions
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority relatedTo HIPAA Transactions and Code Sets standards
linked to: HIPAA Unique Identifiers standards authority