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Division of Medical Assistance
Providing access to high quality, medically necessary health care for eligible North Carolina residents through cost effective purchasing of health care services and products.

 
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Health Insurance Portability and Accountability Act (HIPAA)

Office of HIPAA Compliance
919-855-4220
Fax 919-715-0673

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the federal law that introduced standards for the electronic exchange of information between health care plans (payers), clearinghouses, and providers.  More on HIPAA compliant transactions . . .

HIPAA also introduced regulations to protect patient rights and to guard against the misuse or disclosure of their health records.  More on HIPAA privacy regulations. . .  

A Trading Partner Agreement is required for entities that are directly exchanging electronic data with N.C. Medicaid.  More on Trading Partner Agreements . . .

Providers must ensure that proper measures are taken when submitting patient information to the N.C. Medicaid program.  More on submitting patient information . . .

EOB Code Crosswalk to HIPAA Standard Codes - 4/30/08

Additional information about HIPAA is also available in the June 2003 Special Bulletin, HIPAA Update.

 

 

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Updated July 11, 2008