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HIPAA resources and electronic transactions
The Health Insurance Portability and Accountability Act (HIPAA) provides an important regulatory safeguard for the privacy of health information. To help providers understand the requirements of HIPAA compliance, we’re providing access to resources.
HIPAA 5010 communication
The following Quick Points, Bulletins and other communications will inform you of the latest changes relating to HIPAA 5010 transactions and readiness:
General information:
- Minnesota Eligibility and Benefits – Electronic Transaction Quick Reference (PDF)
- HIPAA 276/277 Companion Guide (PDF)
- HIPAA 5010 270/271 FAQ (PDF)
News & updates:
Provider Bulletin, November 1, 2011 – Discontinuation of paper remittances - Register with Availity now (PDF)
QP14-11 Quick Points, September 20, 2011 – Lessons learned for HIPAA 5010 transactions (PDF)
P12-11 Bulletin, July 20, 2011 – To minimize disruption in posting your remittances, register with Availity now (PDF)
QP7-11 Quick Points, May 4, 2011 – Blue Cross prepares to send HIPAA 5010 835 Health Care Claims Payment Advice transaction (PDF) Revised - see 12-11
P5-11 Bulletin, February 28, 2011 – Important Update as Blue Cross Prepares to Receive HIPAA 5010 Transactions (PDF)
QP27-10 Quick Points, December 21, 2010 – Medicaid Subrogation Claims (PDF)
QP17-10 Quick Points, September 12, 2010 – Provider 5010 Implementation Frequently Asked Questions (PDF)
HIPAA 835 electronic remittance
All providers who receive an 835 remittance can view transactions electronically.
Uniform Explanation of Benefits (EOB) and Remittance Advice Reports
How to read the Statement of Provider Claims Paid.
HIPAA companion documents and FAQs
Blue Cross e-commerce specification documents.
Washington Publishing Company
Government resource on X12N insurance industry implementation guides.
Department of Health and Human Services Data and Transactions Standards
Government resource for data and transactions standards.
Electronic Healthcare Network Accreditation Commission
Electronic data interchange information from national accreditation authority.
HIPAA Advisory
HIPAA information and resources from Phoenix Health Systems.
American Health Information Management Association
Site for association focused on managing personal health information to deliver quality healthcare to the public.
HIPAAcomply
Information for professional and trade association/workgroups.
Minnesota HIPAA Collaborative
Group formed to help Minnesota providers and health plans achieve timely and cost-effective implementation of the HIPAA transactions, codes, and identifier standards (not privacy and security).
National Uniform Claim Committee
Information published in cooperation with the National Uniform Claim Committee by the American Medical Association.
