Does the Health Insurance Portability and Accountability Act (HIPAA) prohibit organizations from processing facsimile (paper) claims?
HIPAA does not prohibit the processing of health care claims via fax. The only HIPAA-related provision dictating the means by which claims can be submitted is included in the legislation signed by President Bush on December 27, 2001, delaying the compliance deadline for the Electronic Standard Transactions. It imposes a new requirement mandating, with limited exceptions, that all Medicare claims for services and supplies provided under both Part A and Part B be submitted electronically by October 16, 2003. Electronic claims forms are not required in cases where there is no method available for submitting claims electronically. Additionally, institutional providers with fewer than 25 full-time equivalent (FTE) employees, as well as physicians, practitioners, facilities, or suppliers with fewer than 10 FTEs are not required to submit claims electronically.
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