HIPAA Transactions and Code Sets Rule

GPTKB entity

Statements (36)
Predicate Object
gptkbp:instanceOf HIPAA regulation
gptkbp:appliesTo health plans
health care clearinghouses
certain health care providers
gptkbp:citation 45 CFR Part 162
gptkbp:enforcedBy gptkb:U.S._Department_of_Health_and_Human_Services
https://www.w3.org/2000/01/rdf-schema#label HIPAA Transactions and Code Sets Rule
gptkbp:partOf gptkb:Health_Insurance_Portability_and_Accountability_Act
gptkbp:penalty civil monetary penalties
gptkbp:purpose ensure uniformity in data exchange
standardize electronic health care transactions
gptkbp:relatedTo gptkb:HIPAA_Privacy_Rule
gptkb:HIPAA_Security_Rule
gptkbp:requires use of standard code sets
use of standard transaction formats
gptkbp:standardizedBy claims
claim status
coordination of benefits
eligibility inquiries
enrollment and disenrollment
payment and remittance advice
premium payment
referral authorization
gptkbp:startDate October 16, 2003
gptkbp:updated HIPAA Administrative Simplification provisions
gptkbp:usesCodeSet gptkb:LOINC
gptkb:ICD-10-CM
gptkb:ICD-9-CM
gptkb:NDC
CDT
CPT
HCPCS
NUBC
UB-04
gptkbp:bfsParent gptkb:42_U.S.C._§_1320d_et_seq.
gptkbp:bfsLayer 6