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Covered Entities Examples?

Updated: Jan 21

Covered Entities Examples

Health Care Providers who transmit any information in an electronic form in connection with a transaction for which HHS has adopted a standard:

  • Doctors

  • Clinics

  • Psychologists

  • Dentists

  • Chiropractors

  • Nursing Homes

  • Pharmacies

Health Plans:

  • Health insurance companies

  • HMOs

  • Company health plans

  • Government programs that pay for health care, such as Medicare, Medicaid, and the military and veterans' health care programs

Health Care Clearinghouses:

This includes entities that process nonstandard health information they receive from another entity into a standard (i.e., standard electronic format or data content), or vice versa. Ex: Companies that transmit claims electronically to health plans.

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