“These new standards are a part of our efforts to help providers and health plans spend less time filling out paperwork and more time seeing their patients,” Secretary Sebelius said.
Currently, when a health care provider bills a health plan, that plan may use a wide range of different identifiers that do not have a standard format. As a result, health care providers run into a number of time-consuming problems, such as misrouting of transactions, rejection of transactions due to insurance identification errors, and difficulty determining patient eligibility. The change announced today will greatly simplify these processes.
The rule announced today is the fourth administrative simplification regulation issued by HHS under the health reform law:
More information on the final rule is available in a fact sheet at http://www.cms.gov/apps/media/fact_sheets.asp.
The final rule may be viewed at www.ofr.gov/inspection.aspx.
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