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ARTICLE · 29 OCTOBER 2014

Deadline Approaching To Secure Health Plan Identifier ("HPID")

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Certain group health plans are required to obtain a 10-digit Health Plan Identifier from the Center for Medicare and Medicaid Services by November 5, 2014.

United StatesEmployment and HR
Roberta Granadier
Roberta Granadier
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Certain group health plans are required to obtain a 10-digit Health Plan Identifier ("HPID") from the Center for Medicare and Medicaid Services ("CMS") by November 5, 2014. Currently various users of the health care system such as health plans, third party administrators ("TPA") and clearinghouses use multiple identifiers which differ in length and format. The HPID is required by HIPAA and creates a standard data element for health plans, including employer sponsored health plans. The HPID is used in electronic transactions involving health plans and is intended to improve accuracy and efficiency in the healthcare experience. Group health plans must use the HPID for HIPAA transactions such as medical and dental claims, claims payment and remittance, referrals and authorizations, benefit enrollment and disenrollment and premium payments.

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