New HIPAA Requirement for Self-Insured Plans

April 16, 2014

The Health Insurance Portability and Accountability Act, HIPAA, protects the security of patient information through many safeguards, including the creation of new electronic transmission safety protocols.

One of those protocols is the standardized 10-digit Health Plan Identifier (HPID). All health plans, whether or not they currently transmit data electronically, will soon be required to have a HPID. HPIDs will be assigned by an application process with CMS, the Centers for Medicare & Medicaid Services. Insurance carriers will obtain HPIDs on behalf of insured plans. However, employers that sponsor self-insured health plans will have to get their own HPID, which is a complicated process.

Health plans with more than $5 million in annual receipts have until November 5, 2014 to get a HPID. Smaller health plans have until November 5, 2015. If you must apply for a HPID because your plan is self-insured, your Keller account team will assist you with this process as we get more information from the CMS.