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Compliance for Electronic Data Transmissions ____________________________________________________
Hometown Health is required to document HIPAA regulations to ensure physicians and providers are aware of and follow Hometown Health ’ s policies and procedures for electronic transmissions .
Physicians and providers are subject to provisions of the rules promulgated under the Health Insurance and Portability Act of 1996 ( HIPAA ). These rules include Standards of Privacy for Individual Identifiable Health Information , Standards for Electronic Transactions , Security and Electronic Signature Transactions , and the National Standard Provider Identifier .
Physicians and providers conform to each electronic transaction submitted to Hometown Health to the X12 Implementation Guide Specifications applicable to the transaction . As of May 2008 , all healthcare providers who submit electronic health claims are required to obtain an NPI . Claims submitted by physicians and providers without their NPI are considered non-compliant claims and may be rejected by Hometown Health .
Physicians and providers are solely responsible for the preservation , privacy and security of data in its possession , including data transmissions received from Hometown Health and other persons .
Providers will promptly notify Hometown Health of any unlawful or unauthorized uses , disclosure , or security incidents of PHI regarding our members .
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