I am trying to understand who is a covered entity under HIPAA. We are a large corporation that is self-insured...
By submitting your email address, you agree to receive emails regarding relevant topic offers from TechTarget and its partners. You can withdraw your consent at any time. Contact TechTarget at 275 Grove Street, Newton, MA.
that has contracted with several health plans and a private benefit administration firm for our health benefits. Is our corporation expected to meet HIPAA because we are self-insured?
In a nutshell, if your plan pays for the cost of medical care and/or submits health care transactions electronically, you might very well be considered a health plan that is a covered entity under HIPAA. I recommend that you check out the following Covered Entity Decision Tools page provided by the Centers for Medicare and Medicaid Services: http://www.cms.gov/hipaa/hipaa2/support/tools/decisionsupport/default.asp
Also, the American Medical Association has a "Who must comply test" that can provide you with some general guidance as well. Check it out at: http://www.ama-assn.org/ama/pub/category/8818.html
For more information on this topic, visit these other SearchSecurity.com resources:
Dig Deeper on HIPAA
Have a question for an expert?
Please add a title for your question
Get answers from a TechTarget expert on whatever's puzzling you.