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What Transactions Are Bound By HIPAA and HITECH?

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Documents and transactions that involve personal health information (PHI) fall within the realm of HIPAA and HITECH compliance. Some examples include:

  • Health claims forms or their equivalent
  • Attachments to health claims forms
  • Enrollment/disenrollment in health plans
  • Eligibility for health plans
  • Health care payment and remittance advice
  • Premiums
  • First report of injury
  • Health claim status reports
  • Referral certification and authorization
  • Any other document containing personal health information

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HIPAA and HITECH Frequently Asked Questions