There's a fantastic write-up from
Eligible, a company I've had the pleasure of working with recently, on the
state of "real-time" transactions in the health care sector.
With the passage of
The Health Insurance Portability and Accountability Act of 1996 (HIPAA), our government created a set of standards defining the kind of transactions that your doctor, your insurance company, Durable Medical Equipment Providers (DMEs) and a whole host of other participants in the health care sector carry out while delivering your health care to you (and making sure it's paid for...)
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| Image Courtesy of CMS |
While most of the attention around HIPAA tends to be focused on the
Security, Privacy, and Breach of Notification Rules, this legislation was the first time any of the participants in the health care sector attempted to create a single unified standard defining what types of information should be included, for example, when a doctor's office sends an electronic request to an insurance company to verify what kind of coverage you have before providing you with services.