San Francisco Health Plan HIPAA Compliance General Overview
San Francisco Health Plan HIPAA Compliance is viewed as a part of Health Insurance Portability and Accountability Act compliance program for all parties involved in electronic data interchange process in health care industry.
Under the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Secretary of the Department of Health and Human Services (HHS) is directed to adopt standards to support the electronic exchange of administrative and financial health care transactions. The purpose of the Administrative Simplification portion of HIPAA is enable health information to be exchanged electronically and to adopt standards for those transactions. To submit a valid transaction, refer to the National Electronic Data Interchange Transaction Set Technical Report & Errata for the Health Care Eligibility: ASC X12N 270/271 (005010X279A1). San Francisco Health Plan HIPAA compliance is a Phase III CORE Certified Health Plan.
The Health Insurance Portability and Accountability Act–Administration Simplification (HIPAAAS) requires San Francisco Health Plan HIPAA program and all other covered entities to comply with the electronic data interchange standards for health care as established by the Secretary of Health and Human Services. All posts in the blog regarding San Francisco Health Plan HIPAA electronic transactions and EDI documents rules and requirements are designed to help those responsible for testing and setting up electronic eligibility status transactions. Specifically, it may clarify when situational data elements and segments must be used for reporting and identifies codes and data elements that do not apply to San Francisco Health Plan compliance program. San Francisco Health Plan HIPAA compliance supplements (but does not contradict) requirements in the ASC X12N 270/271 (version 005010X279A1) implementation. San Francisco Health Plan HIPAA information can be used by provider’s electronic data interchange business area to ensure that eligibility status responses and other San Francisco Health Plan EDI documents are interpreted correctly.