What Are Administrative Simplification Provisions?
These are a set of rules under the Health Insurance Portability and Accountability Act (HIPAA) that standardize how healthcare information is processed and exchanged electronically. They create a universal "language" for transactions like claims, eligibility checks, and payments.
Why They Are Important
The goal is to make the healthcare system more efficient, reduce paperwork, and cut down on costly administrative and billing errors. When these rules work correctly, your claims get processed faster and more accurately.
How Mira Mace Can Help
While you don't need to be an expert in these technical rules, you feel the impact when they fail. If a claim is denied or a bill is wrong due to a data error, our advocates know how to investigate. We work with providers and your insurance plan to resolve these complex administrative issues on your behalf.