I heard that DHHS recently made some changes to the final transaction standards after they were published. What are they?
The primary change is in the definition of health plan that has become more succinct and inclusive. Most of the other changes are typo corrections. Here is the new definition of “Health Plan”: “Health plan” means a plan, program or organization that provides health benefits, whether directly, through insurance, reimbursement or otherwise, and includes but is not limited to- 1) A policy of health insurance; (2) A contract of a service benefit organization; (3) A membership agreement with a health maintenance organization or other prepaid health plan; (4) A plan, program, agreement or other mechanism established, maintained or made available by a self insured employer or group of self insured employers, a practitioner, provider or supplier group, third party administrator, integrated health care delivery system, employee welfare association, public service group or organization or professional association; and (5) An insurance company, insurance service or insurance organization that is
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