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.
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
NERFINISHED
ⓘ
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 NERFINISHED ⓘ |
| hasLegalBasisIn |
HIPAA Administrative Simplification provisions
NERFINISHED
ⓘ
Health Insurance Portability and Accountability Act NERFINISHED ⓘ |
| implementedThrough |
45 CFR Part 162
ⓘ
HHS regulations NERFINISHED ⓘ |
| monitoredBy | Centers for Medicare & Medicaid Services NERFINISHED ⓘ |
| regulates |
employers identifiers
ⓘ
health plans identifiers ⓘ healthcare providers identifiers ⓘ standardized identification codes ⓘ |
| relatedTo |
HIPAA Privacy Rule
NERFINISHED
ⓘ
HIPAA Security Rule NERFINISHED ⓘ HIPAA Transactions and Code Sets standards NERFINISHED ⓘ |
| requiresUseOf |
Employer Identification Number for employer identification in transactions
ⓘ
National Provider Identifier in standard transactions NERFINISHED ⓘ |
| 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 NERFINISHED ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.