Questions Submitted by the Public, by Date Posted to the Website. Accepting standard transactions and additional formats


Is it permissible for health plans to continue to accept additional formats as well as the standard transactions adopted under HIPAA past the effective date of the final regulation?


Section 162.923(a) of the regulation requires a covered entity that electronically conducts a transaction adopted under part 162 of the regulation, with another covered entity, to conduct the transaction as a standard transaction. Health plans may continue to accept additional electronic formats after the transaction and code set final rule compliance date only if the submitter is NOT a covered entity under HIPAA.