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Frequently Asked Questions About Electronic Transaction Standards Adopted Under HIPAA
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Why have national standards for electronic health care transactions been adopted and why are they required?
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What health care transactions are required to use the standards under this regulation?
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Who is required to use the standards?
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If a health plan does not perform a transaction electronically, must it implement the standard?
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When will the standards become effective?
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Where did these standards come from? Did the Federal Government create them?
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What standards were chosen?
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Do these standards apply to transactions sent over the Internet?
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Do I have to use standard transactions when conducting business inside my corporate boundaries?
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What is the effect on State law?
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Are any exceptions allowed?
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What does the law require of state Medicaid programs?
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How will the standards be enforced?
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How were the standards chosen?
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Where can I obtain implementation guides for the standards?
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How can the standards be changed?
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Does the law require physicians to buy computers?
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How will the standards affect data stored in my system?
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Can health plans require changes or additions to the standard claim?
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Should health plans publish companion documents that augment the information in the standard implementation guides for electronic transactions?
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Could companion documents from health plans define cases where the health plan wants particular pieces of data used or not used?
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May health plans stipulate the codes or data values they are willing to accept and process in order to simplify implementation?
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May health plans stipulate the number of loop iterations or the file sizes they are willing to accept?
