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Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition

Publication: Federal Register

This rule finalizes the standards for the Unique Health Plan Identifier (HPID) for health plans as well as an Other Entity Identifier (OEID) for entities that are not health plans, health care providers, or individuals that need to be identified in standard transactions.  Health plans must adopt the HPID by November, 2014, while small health plans have until November, 2015 to comply with the provision.  Covered entities must use the HPID in standard transactions by November, 2016.  The HPID will increase standardization within HIPAA transactions and allow for greater efficiency for insurance billing and processing. 

In addition, the final rule delays the compliance date for ICD-10 from October 1, 2013 until October 1, 2014. The delay in implementation of ICD-10 is due to providers' concern over being able to meet the 2013 deadline.

Download full text of the final rule as a PDF