HIPAA Requirements

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Title II - Subtitle F of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 established standardization of the healthcare transactions between Covered Entities (i.e. payers, medical providers filing electronically, and clearinghouses). The law requires that electronic transactions between Covered Entities comply with a standard format and standard content. In addition to the standard transactions, the U.S. Department of Health and Human Services also developed regulations for Privacy and Security.

Electronic Transactions & Code Sets

Mutual of Omaha currently accepts HIPAA electronic transactions as submitted via a select set of clearinghouses representing a broad section of the country. For questions regarding electronic transactions including HIPAA 5010, please email edi.claims.support@mutualofomaha.com.

National Provider Identifier

The Health Information Portability and Accountability Act (HIPAA) of 1996 requires all covered entities to accept/transmit the National Provider Identifier (NPI) in all standard transactions after May 23, 2007 (small health plans have until May 23, 2008). CMS issued guidance in April 2007 to allow covered entities to employ a contingency plan for a twelve month period if they have made reasonable and diligent efforts to become compliant.

Mutual of Omaha currently accepts the NPI in all standard electronic transactions and will transmit the NPI, if submitted, in all outgoing standard transactions after May 23, 2007.

Privacy

The Mutual of Omaha Companies have long recognized the importance of protecting the personal information entrusted to us by our customers. A Privacy Office, as well as a designated officer in charge of privacy efforts, has been established to review and coordinate compliance activities associated with federal and state privacy legislation and regulations – including, but not limited to, the Gramm-Leach-Bliley Act (GLBA), the final HIPAA privacy rule standards, and the Fair Credit Reporting Act (FCRA).

Mutual of Omaha’s HIPAA privacy notice as well as privacy service forms are available for your use.

Security

Mutual of Omaha adheres to strict standards of security and confidentiality to protect customer information. We make use of physical, electronic, and procedural safeguards to keep information secure.

Contact

If you have any questions, please e-mail the Privacy Office at privacy.office@mutualofomaha.com.

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