HIPAA Electronic Transactions

Transactions, as defined under HIPAA, are electronic communications between covered entities.  Standards for electronic transactions and their applicable code sets were adopted and made effective on October 16, 2000, and all covered entities were required to comply with these standards by October 16, 2002. 

Health plans (payers) and those providers who conduct transactions electronically are defined as covered entities. 

Providers who submit transactions through a clearinghouse or vendor should contact their clearinghouse or vendor to ensure proper measures are being taken for HIPAA compliance.

HIPAA Companion Guides for Electronic Transactions

Related Links

• U.S. Department of Health and Human Services
• Centers for Medicare and Medicaid Services
• Workgroup for Electronic Data Interchange
• Strategic National Implementation Process
• Washington Publishing Company