Covered Entities
What is a "covered entity" under HIPAA?
Below is a more detailed list of those who fall under the covered entity category under HIPAA.
Health Plans (licensed insurers, ERISA plans, HMOs, Medicare, etc.)
Providers (physicians, hospitals, home health, DME, pharmacy, chiropractic, dental, etc.) that conduct one or more of the HIPAA-defined transactions electronically
Clearinghouses (billing services, value-added networks and switches if these entities perform clearinghouse functions such as claims routing, and cleansing entities)
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