HEALTH PLAN IDENTIFIER & NATIONAL PROVIDER IDENTIFIER REQUIREMENT

The Administrative Simplification provision under Section 1104 of the Patient Protection and Affordable Care Act issued a final rule Aug. 24, 2012 that adopts a 10-digit healthplan identifier (HPID) for health plan entities to use with other entities.  Effective date to comply for small health plans is November 5, 2015.   Currently, the use of HPID is only requred for electronic transactions. 

Certain individual health care providers are to obtain and disclose a national provider identifier (NPI). Effective date is November 5, 2014. 

This is intended to improve the standards for electronic transactions under HIPAA.