HIPAA Information

For employer groups, brokers and consultants

This page is designed to provide you with information regarding our HIPAA's Administrative Simplification Regulations. You will also find information on how these regulations effect and impact the employer and broker communities, including an extensive array of information about the Privacy Regulations.

Tufts Health Plan is Committed to HIPAA

It's no secret - HIPAA is a complex piece of legislation that has a huge impact on everyone involved with the health care industry, including employers, brokers and consultants.

We are committed to achieving compliance with the Administrative Simplification portion of HIPAA. Through the work of our HIPAA Program Office, many activities have been completed, and more are in progress, to make certain we comply with HIPAA's Privacy, Transactions and Code Sets and Security Regulations.

For an update on how our HIPAA Project Office has progressed with its efforts to reach compliance with the HIPAA regulations.

Electronic Data Interchange (EDI) Submitter Information 
This section provides information on how to obtain our companion guide documents for the 834 Benefit Enrollment and Maintenance transaction, and the 820 Payroll Deducted and Other Group Premium Payment transaction.

HIPAA Privacy Documents
This section is designed to provide employer groups, brokers, consultants and third party administrators with information regarding the Privacy Regulations and how they impact their relationship with Tufts Health Plan. This includes summary documents for fully- and self-insured employer groups, instructions for brokers and consultants and Tufts Health Plan-specific Agent and Business Associate Documentation forms.

Summary of Privacy Information
This area describes a member's rights under HIPAA and what Tufts Health Plan is doing to be in compliance with the Privacy Regulations.

HIPAA Online Resources 
We have developed a resource list of helpful HIPAA-related Web sites for Transactions and Code Sets, Privacy and Security Regulations.



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