EDI Privacy Requirements impact on parties EDI privacy requirements should be analized regarding parties. The employer/plan sponsor is not a covered entity. Technically he does not have to directly comply with the Privacy Regulations. However, employers and plan sponsors will indirectly be impacted. The general health plan (GHP) or its insurer or business associate may not disclose … Read More →
HIPAA EDI Privacy – part of the Anthem’s HIPAA regulations HIPAA EDI Privacy addresses protecting the privacy of protected health information (PHI). As part of the HIPAA regulations, the government has established some controls. They will limit how, when and where protected health information is shared. Medical information, as well as emographic information, is “Protected Health Information” (PHI). Anthem … Read More →
Health industry EDI non-medical related code sets as an integral part of electronic transactions Health industry EDI code sets include any set of codes used for encoding data elements. Examples: tables of terms, medical concepts, medical diagnosis, or medical procedure codes. They are used in Health industry EDI to describe various health care services, procedures, tests, … Read More →
HIPAA Compliance – the right way to standardization in a health care industry HIPAA Compliance at Anthem started in January 2000. In that year Anthem created the HIPAA Program Office. It was done to oversee all of Anthem’s HIPAA compliance activities. Since then, multiple HIPAA rules have been passed, including rules related to standard transactions and … Read More →