Regulatory Timeline

HIPAA Transactions

  • Official Date of Final Rule:
    January 16, 2009
     
  • Effective Date of Regulation (except Subrogation):
    March 17, 2009
     
  • Effective Date of Regulation (Subrogation):
    January 1, 2010
     
  • Compliance Date (5010, D.0 – all industry):
    January 1, 2012
     
  • Compliance Date (Subrogation only – all appropriate except Small Health Plans):
    January 1, 2012
     
  • Compliance Date for Small Health Plans (Subrogation only):
    January 1, 2010
     

ICD-10

  • Official Date of Final Rule:
    January 16, 2009
     
  • Effective Date of Regulation:
    March 17, 2009
     
  • Compliance Date:
    not prior to October 1, 2015
     

Operating Rules

  • Eligibility and Claim Status Transactions
     
  • Publication Date:
    July 8, 2011
     
  • Effective Date of Regulation:
    June 30, 2011
     
  • Compliance Date:
    January 1, 2013
     
  • Health Care Electronic Funds Transfers and Remittance Advice transactions
  • Publication Date:
    August 10, 2012
     
  • Effective Date of Regulation:
    August 10, 2014
     
  • Compliance Date:
    January 1, 2013
     

Health Plan Identifier

  • Publication Date:
    September 9, 2012
     
  • Effective Date of Regulation:
    November 5, 2012
     
  • Compliance Date for all health plans (to obtain HPID) except small health plans:
    November 5, 2014
     
  • Compliance Date for small health plans (to obtain HPID):
    November 5, 2015
     
  • Use of HPIDs in standard transactions on or after:
    November 7, 2016
     
  • Enforcement Discretion:
    Delayed until further notice
     

Audit Transaction Standard-

 
Version: 33 October 2017
Version: 32 April 2017
Version: 31 July 2016

Batch-

 
Version: 15 October 2017
Version: 14 April 2017
Version: 1.3 January 2016

Batch Standard Subrogation Implementation Guide-

Benefit Integration Standard-

Financial Information Reporting-