Are employers required to submit enrollments by the standard transactions?

The correct answer is B. Employers are not CEs and do not have to send enrollment using HIPPA standard transactions. Under HIPAA, the three categories of Covered Entities (CEs) are health plans, health care clearinghouses, and health care providers who transmit health information electronically. Employers, in their capacity as employers (e.g., sponsoring a group health plan), are not…

Regulatory and Standards Environment

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AThough Employers are not CEs and they have to send enrollment using HIPPA standard
BEmployers are not CEs and do not have to send enrollment using HIPPA standard transactions.
CEmployers are CEs and have to send enrollment using HIPPA standard transactions. However,
DEmployers are CEs and do not have to send enrollment using HIPPA standard transactions.

How the community answered

(35 responses)

A
6% (2)
B
91% (32)
C
3% (1)

Explanation

Under HIPAA, the three categories of Covered Entities (CEs) are health plans, health care clearinghouses, and health care providers who transmit health information electronically. Employers, in their capacity as employers (e.g., sponsoring a group health plan), are not themselves considered Covered Entities. Therefore, employers are not required to submit enrollment transactions using HIPAA standard electronic transaction formats. The health plan itself - which may be operated by or through the employer - would be the CE, not the employer organization. Note: the question and answers misspell 'HIPAA' as 'HIPPA,' which is a common error.

Topics

#HIPAA#Covered Entities#Administrative Simplification#Standard Transactions

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