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What is the difference between a covered entity and a noncovered entity?

April 26, 2017Covered difference entity noncovered

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What is the difference between a covered entity and a noncovered entity?

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Health care providers who transmit standard electronic transactions (for example, claims submissions, referrals, etc.) are covered entities and are required by the HIPAA NPI regulations to apply for and receive an NPI. Acquiring an NPI is optional for noncovered entities (providers who do not submit standard electronic transactions).