HIPAA applies to covered entities and their business associates. Answer these questions to determine your classification and what compliance obligations apply to you.
1. Are you a healthcare provider? (Provides medical, surgical, dental, psychiatric, or pharmacy services to individuals)
2. Are you a health plan? (Health insurance company, HMO, employer-sponsored health plan, Medicare/Medicaid program)
3. Are you a healthcare clearinghouse? (Processes nonstandard health information into standard formats for other entities)
4. Do you provide services to a covered entity and in doing so create, receive, maintain, or transmit protected health information (PHI)?
5. Do you transmit any health information electronically on behalf of covered entities? (e.g., billing, eligibility, claims)