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Title:
Isolating Health Care Clearinghouse Functions
Policy:
SEC 04.01
Category:
HIPAA Compliance
Authority:
45 CFR § 164.308 (4) (ii) (A)
HIPAA Section:
Standard:
Information Access
Responsibility:
Health Care Components
Effective Date:
04/20/2005
Page 1 of 1
Approved by:
OSU Legal Counsel
Revised:
Purpose
Isolate Clearinghouse Functions
Policy
OSU does not operate as a clearinghouse, but utilizes a separate clearinghouse for claims transmission.
Procedure
The vendor contracted with the clearinghouse for OSU and has a Business Associate Agreement in place.
Claims are submitted to the vendor.
The vendor sends a report back showing what was received.
The vendor submits claims to the clearinghouse.
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