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HIPAA

Introduction
In 1996 Congress passed the Health Insurance Portability and Accountability Act (HIPAA). Pursuant to the Act Congress set forth "Administrative Simplification" section covering three areas of regulation:
  1. EDI Standard Transation and code-sets
  2. Privacy and
  3. Security.

Privacy
Please read the following Privacy Policies:
  • Benefit Advisors, Inc. Electronic Privacy Policy
  • Benefit Advisors, Inc. General Privacy Policy
    • EDI Standards and Code-sets
    Electronic Data Interchange (EDI) is used to send information between Providers, Plans, and Payors seamlessly. We will gradually phase in the following transaction code-sets:
  • 837-Health Care Claim Transactions
  • 835-Health Care Claim Payment/Advise
  • 834-Benefit Enrollment
  • 997-Functional Acknowledgment
  • 270/271-Health Care Eligibility/Benefit Inquiry and Information Response