United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2004_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c81699a9 D09002ee1c8169a99 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Office of the Secretary originator org United States Government Agency or Subagency This final rule establishes the standard for a unique health identifier for health care providers for use in the health care system and announces the adoption of the National Provider Identifier (NPI) as that standard. It also establishes the implementation specifications for obtaining and using the standard unique health identifier for health care providers. The implementation specifications set the requirements that must be met by "covered entities": Health plans, health care clearinghouses, and those health care providers who transmit any health information in electronic form in connection with a transaction for which the Secretary has adopted a standard (known as "covered health care providers"). Covered entities must use the identifier in connection with standard transactions. The use of the NPI will improve the Medicare and Medicaid programs, and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the health care system and enabling the efficient electronic transmission of certain health information. This final rule implements some of the requirements of the Administrative Simplification subtitle F of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 69 FR 3434 https://www.govinfo.gov/app/details/FR-2004-01-23/04-1149 04-1149 fr23ja04-10 RIN 0938-AH99 4120-01-P CMS-0045-F https://www.govinfo.gov/app/details/FR-2004-01-23/04-1149 https://www.govinfo.gov/content/pkg/FR-2004-01-23/html/04-1149.htm https://www.govinfo.gov/content/pkg/FR-2004-01-23/pdf/04-1149.pdf Administrative Practice and Procedure Electronic Transactions Health Facilities Health Insurance Hospitals Incorporation by Reference Medicare Medicaid Reporting and Recordkeeping Reports 36 p. 3434 3469 69 FR 3434 Title 45 Part 162 45 CFR Part 162 RIN 0938-AH99 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Federal Register Vol. 69, Issue RULE 04-1149 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 2004-01-23 CMS-0045-F 4120-01-P 04-1149 Final rule.

This final rule establishes the standard for a unique health identifier for health care providers for use in the health care system and announces the adoption of the National Provider Identifier (NPI) as that standard. It also establishes the implementation specifications for obtaining and using the standard unique health identifier for health care providers. The implementation specifications set the requirements that must be met by "covered entities": Health plans, health care clearinghouses, and those health care providers who transmit any health information in electronic form in connection with a transaction for which the Secretary has adopted a standard (known as "covered health care providers"). Covered entities must use the identifier in connection with standard transactions. The use of the NPI will improve the Medicare and Medicaid programs, and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the health care system and enabling the efficient electronic transmission of certain health information. This final rule implements some of the requirements of the Administrative Simplification subtitle F of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

May 23, 2005, except for the amendment to Sec. 162.610, which is effective on January 23, 2004. Health care providers may apply for NPIs beginning on, but no earlier than, May 23, 2005. Patricia Peyton, (410) 786-1812. Administrative Practice and Procedure Electronic Transactions Health Facilities Health Insurance Hospitals Incorporation by Reference Medicare Medicaid Reporting and Recordkeeping Reports Health insurance reform: Health Insurance Portability and Accountability Act of 1996 Standard unique health care provider identifier, cms.hhs.gov http://aspe.hhs.gov/admnsimp/ http://exclusions.oig.hhs.gov/ http://www.access.gpo.gov/nara/index.html http://www.cms.hhs.gov http://www.wpc-edi.com/taxonomy/ Vol. 69, no. 15 Office of the Federal Register, National Archives and Records Administration 2004-01-23 continuing daily deposited born digital 281 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2004-01-23 P0b002ee18097d962 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr23ja04 https://www.govinfo.gov/app/details/FR-2004-01-23 https://www.govinfo.gov/content/pkg/FR-2004-01-23/pdf/FR-2004-01-23.pdf https://www.govinfo.gov/content/pkg/FR-2004-01-23/xml/FR-2004-01-23.xml fdlp 3213 3482 DGPO 2010-09-23 2024-06-07 FR-2004-01-23 machine generated eng FR FR-2004-01-23 69 15