Univera Healthcare logo
Login | Register | Forgot Username | Forgot Password
By Phone
By Email
By Mail
Visit Us In-Person
News and Updates
Print Forms
About Us
Compliance Notices
Employer News | May 27, 2014
Employer News | May 27, 2014

Health Care Reform Update: Health Plan Identifier (HPID)

What is a Health Plan Identifier (HPID)?

A Health Plan Identifier (HPID) is a 10-digit ID that will be used to identify a health plan in HIPAA standard transactions. The HPID was created to eliminate the need for multiple identifiers and streamline HIPAA standard transactions, such as enrollment and eligibility transactions.

Who will use a HPID?

“Controlling health plans” are required to obtain and use a HPID. A "controlling health plan" is one that controls its business activities, actions and policies. "Subhealth plans" may, but are not required to, obtain a HPID. A "subhealth plan" is a plan whose activities, actions or policies are directed by a controlling health plan.

Self-funded plans are considered health plans and are required to use HPIDs. If you self-fund you are likely considered a “controlling health plan.”

HPID Timeline:

  • November 5, 2014: Deadline to apply for a HPID if your annual receipts are more than $5 million.
  • November 5, 2015: Deadline to apply for a HPID if your annual receipts are less than $5 million.
  • November 7, 2016: Begin using your HPID in all HIPAA standard transactions.

How to apply:

Have questions or want more information?


home     news & updates     print forms     about us     fraud & abuse     glossary     accreditations   
Language Assistance and Non-Discrimination Notice

Copyright © 2019, Univera Healthcare, an Excellus company. View our Web Privacy Policy for information on how we protect your privacy. Use of this site indicates your acceptance of our Terms of Use. You will need Internet Explorer or Google Chrome to use the secure features of this site.