The Centers for Medicare and Medicaid (CMS) have released a quick reference guide on obtaining a Unique Health Plan Identifier (HPID). Download the guide here.

Large health plans (plans with health benefit receipts of more than $5 million dollars) have to apply for and obtain an HPID by November 5, 2014. Small health plans (plans with health benefit receipts under $5 million dollars) must obtain an HPID by November 5, 2015. In addition, all health plans, regardless of size, are required to use the HPID in HIPAA electronic standard transactions beginning November 7, 2016. The HPID will support more consistent HIPAA standard transactions. If you have questions or concerns, please contact your Account Executive.