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HHS/CMS RIN: 0938-AV43 Publication ID: Spring 2024 
Title: ●Administrative Simplification: Modifications to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Electronic Transaction Standards Version 8020 (CMS-0061) 
Abstract:

This proposed rule seeks to adopt the updated versions of the standards for the electronic exchange of health information under the Administrative Simplification subtitle of HIPAA.  Specifically, this rule would propose to replace the X12 Technical Reports Type 3, Version 5010 with the X12 Technical Reports Type 3, Version 8020 for health care claims or equivalent encounter information transactions (Institutional, Professional, and Dental) and electronic remittance advice transactions. These updated versions of the X12 standards would promote interoperability and ease the administrative burden on providers and health plans.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: No 
CFR Citation: 45 CFR 162   
Legal Authority: Social Security Act, sec. 1173    Pub. L. 104-191 (HIPAA)    Pub L.111-148 (ACA), sec. 1104   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  12/00/2024 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, Local, State, Tribal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Geanelle Herring
Technical Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Burden Reduction and Health Informatics, MS: S2-26-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4466
Email: geanelle.herring@cms.hhs.gov