Questions Submitted by the Public, by Date Posted to the Website. Effect of standards on transmission requirements (e.g., addresses)


Does the Transactions Rule affect health plan transmission requirements? May a health plan continue to require health care providers to send dental claim transactions to one location (electronic mail box, etc.) and preauthorization transactions to another?


The Transactions Rule does not affect transmission requirements, such as specified billing addresses, of health plans. These are business decisions between health plans and health care providers. HIPAA does require health plans to accept the electronic transactions which were adopted through the transaction rule.