HIPAA

Contingency Plans

Acceptance of non-standard formats will only continue for a limited time. Providers and/or submitters should be actively testing the ANSI-837, version 4010A1 format via the company's self-testing system available on the Provider Home Page under Electronic Commerce. Providers should move into production on the HIPAA required format as soon as possible to avoid cash flow problems.

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HIPAA News

  • HIPAA Newsletters
  • Provider Mailings
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HIPAA Privacy

Privacy, the second area of HIPAA-AS, had a compliance deadline of April 14, 2003. Among other things, this rule:

  • limits the use and release of individually identifiable health information;
  • gives patients the right to access individually identifiable health care information in the hands of a covered entity, to which the law applies;
  • restricts disclosure of individually identifiable health care information to the minimum necessary amount needed for the intended purpose; and
  • establishes safeguards and restrictions on access to records for certain public responsibilities.
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Commonly Used Abbreviations

What do ASC, NPI, & TPO stand for? Click more for an explanation of health care abbreviations and acronyms.
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Definitions

Standard terms used with the HIPAA Program. 

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National Provider Identifier (NPI)

BlueCross BlueShield of Tennessee updated its timeline for acceptance of the NPI to be consistent with the Centers for Medicare and Medicaid (CMS) NPI timeline. This should allow an easier transition for electronic providers.

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Readiness Survey Response

BlueCross BlueShield of Tennessee has met all required HIPAA implementation dates for Privacy, Standard Transactions and Code Sets, and Employer Identifiers.

We applied for an extension in August 2002, as permitted by the Administrative Simplification Compliance Act (ASCA), to allow adequate time for all electronic submitters to migrate to the new formats.

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HIPAA and e-Commerce / Testing

  • HIPAA FORMATS
  • HIPAA Compliance Self-Testing Web Tool
  • HIPAA ANSI X12 Implementation Guide
  • BCBST's Companion Implementation Guides
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The information contained herein for The Health Insurance Portability and Accountability Act of 1996 (HIPAA) under the BlueCross BlueShield of Tennessee, Inc. Web site is intended for educational purposes only and should not replace HIPAA regulations set forth by law and publicly made available by the United States Government Printing Office.

Page Modified:May 15, 2012