PUBLIC LAW 104-191—AUG. 21, 1996 110 STAT. 2025 "(1) IN GENERAL. — The Secretary shall adopt standards for transactions, and data elements for such transactions, to enable health information to be exchanged electronically, that are appropriate for— "(A) the financial and administrative transactions described in paragraph (2); and "(B) other financial and administrative transactions determined appropriate by the Secretary, consistent with the goals of improving the operation of the health care system and reducing administrative costs. "(2) TRANSACTIONS.—The transactions referred to in paragraph (1)(A) are transactions with respect to the following: "(A) Health claims or equivalent encounter information. "(B) Health claims attachments. "(C) Enrollment and disenrollment in a health plan. "(D) Eligibility for a health plan. "(E) Health care payment and remittance advice. "(F) Health plan premium payments. "(G) First report of injury. " (H) Health claim status. "(I) Referral certification and authorization. "(3) ACCOMMODATION OF SPECIFIC PROVIDERS.— The standards adopted by the Secretary under paragraph (1) shall accommodate the needs of different types of health care providers. " (b) UNIQUE HEALTH IDENTIFIERS. — "(1) IN GENERAL,.—The Secretary shall adopt standards providing for a standard unique health identifier for each individual, employer., health plan, and health care provider for use in the health care system. In carrying out the preceding sentence for each health plan and health care provider, the Secretary shall take into account multiple uses for identifiers and multiple locations and specialty classifications for health care providers. "(2) USE OF IDENTIFIERS.— The standards adopted under paragraph (1) shall specify the purposes for which a unique health identifier may be used. "(c) CODE SETS. — "(1) IN GENERAl..— The Secretary shall adopt standards that— "(A) select code sets for appropriate data elements for the trginsactions referred to in subsection (a)(1) from among the code sets that have been developed by private and public entities; or "(B) establish code sets for such data elements if no code sets for the data elements have been developed. "(2) DISTRIBUTION.—The Secretary shall establish efficient and low-cost procedures for distribution (including electronic distribution) of code sets and modifications made to such code sets under section 1174(b). " (d) SECURITY STANDARDS FOR HEALTH INFORMATION.— "(1) SECURITY STANDARDS. —The Secretary shall adopt security standards that— "(A) take into account— "(i) the technical capabilities of record systems used to maintain health information;
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