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.

All labels observed (5)

How this entity was disambiguated

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 ⓘ
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 ⓘ
hasLegalBasisIn HIPAA Administrative Simplification provisions ⓘ
Health Insurance Portability and Accountability Act ⓘ
implementedThrough 45 CFR Part 162 ⓘ
HHS regulations ⓘ
monitoredBy Centers for Medicare & Medicaid Services ⓘ
regulates employers identifiers ⓘ
health plans identifiers ⓘ
healthcare providers identifiers ⓘ
standardized identification codes ⓘ
relatedTo HIPAA Privacy Rule ⓘ
HIPAA Security Rule ⓘ
HIPAA Transactions and Code Sets standards ⓘ
requiresUseOf Employer Identification Number for employer identification in transactions ⓘ
National Provider Identifier in standard transactions ⓘ
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 ⓘ

How these facts were elicited

Referenced by (5)

Full triples — surface form annotated when it differs from this entity's canonical label.

Public Law 104-191 → creates → HIPAA Unique Identifiers standards authority ⓘ
Title II – Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability Reform → basisFor → HIPAA Unique Identifiers standards ⓘ
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority → usesIdentifierSystem → National Provider Identifier ⓘ
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority → requiresUseOf → National Provider Identifier in standard transactions ⓘ
linked to: HIPAA Unique Identifiers standards authority
HIPAA Unique Identifiers standards authority → relatedTo → HIPAA Transactions and Code Sets standards ⓘ
linked to: HIPAA Unique Identifiers standards authority