A proposed rule from the Department of Health and Human Services would require health insurers to certify compliance by the end of 2015 with HIPAA operating rules governing more uniformity of insurance eligibility, claim status, electronic funds transfer and remittance advice transactions.
This proposed rule is intended to serve as an initial step toward the development of a consistent testing process or framework before implementation of new standards and operating rules, according to the rule published on Jan. 2. Documentation of compliance would include an indication that a health plan has completed some internal and external testing. To the degree they support various HIPAA transactions, the business associates and subcontractors of insurers also must comply with pertinent operating rules.
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