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Initial intent and main
purpose of legislation was to allow individuals to carry their health
insurance from job to job.
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Included provisions designed
to standardize and increase the efficiency of common electronic
transactions in health care and to protect the security and privacy of
individually identifiable health information.
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Divided into four key areas
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Privacy – will
explain further as most related to university research
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Electronic Transaction
Standards – attempt to simplify standard exchanges between health
care organization. Establishes standardized formats, codes and data elements
for transactions such as health claims, enrollment in health plan, health
care payment, referral and authorization etc.
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Expensive to implement, but
will eventually improve efficiency and reduce paperwork.
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Security Standards –
Rules for protecting the data integrity, confidentiality, and availability of
electronic health care information (These standards apply only to electronic
data & information.)
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Unique Identifiers –
Require one identifying number for each provider, health plan, patient and
employer
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Compliance date for
Transactions – October 16, 2002
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Privacy – April 14, 2003
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Security – April 2005
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