In an effort to make the
healthcare system more streamlined across the United States, The Department of
Health and Human Services is now requiring insurers and employers to obtain
Health Plan Identifiers for any fully, or self-insured health plan. Health Plan
Identifiers are distinct, ten-digit numbers used by HIPAA-governed entities
during electronic transactions such as billing.
Employers and insurers are
required to attain their distinctive HPID’s for each plan that they provide no
later than November 5, 2014. The number of Health Plan Identifiers necessary
for a company is reliant upon the number of plans that the company provides.
However, smaller health plans (those with yearly proceeds of less than $5
million) are granted an extended deadline of November 5, 2015 to obtain their
HPIDs.
For all fully insured health
plans, the carriers will take the responsibility of registering the
HPID’s. Please check with your third
party administrator for self-insured plans. Health plan providers are able to register for
their Health Plan Identifiers on the Center of Medicaid and Medicare Services
website directly. If you need help acquiring
your Health Plan Identifier/s or if you have questions, please feel free to
contact Ipswich Bay Advisors at (978) 777-6554.
