HIPAA Transactions - Best Practices

• HIPAA Transaction Fact Sheet
This 2-page document provides some basic facts about HIPAA-compliant transaction exchange.

» HIPAA Transaction Fact Sheet (updated 1.13.03)

• Companion Documents for the HIPAA Transactions
Participating health plans have been working together to reach a common understanding and to agree upon conventions about how the HIPAA transactions will be implemented. Companion Document are designed to help providers in their efforts to:

1. Become familiar with the HIPAA transaction and how that transaction will be processed by participating health plans.
2. Develop software to implement & exchange the HIPAA transaction with participating health plans.
3. Develop specification materials for their vendor(s) who will implement the transaction.
4. Resolve possible issues that might arise in the process of exchanging the transaction with participating health plan.

» view available Companion Documents

• Best Practice Recommendations for HIPAA Transaction Exchange
Health Plans and Providers are working together to develop best practice recommendations for implementing and using the HIPAA transactions.  Though HIPAA mandates how the transactions should be formatted and what codes are valid, HIPAA does not standardize how the transactions should be used to convey information in a meaningful way.  By adhering to these Best Practice Recommendations, health plans and providers can help to ensure that a HIPAA transaction will mean the same thing no matter who sends or receives it.

» view Best Practice Recommendations