Who must comply with the HIPAA Security Rule?
Any Health Plan, Health Care Clearinghouse or a Health Care Provider who transmits health information in electronic form must comply with the HIPAA Security Rule. A Health Plan is defined as an individual or group plan that provides or pays the cost of medical care. A Health Care Clearinghouse is defined as a public or private entity, including a billing service, repricing company, community health management information system or community health information system, and “value-added” networks and switches, that does either of the following functions: (1) Processes or facilitates the processing of health information received from another entity in a nonstandard format or containing nonstandard data content into standard data elements or a standard transaction. (2) Receives a standard transaction from another entity and processes or facilitates the processing of health information into nonstandard format or nonstandard data content for the receiving entity. A Health Care Plan is defin
