HIPAA Regulations: General Provisions - Definitions - Transaction - § 160.103

As Contained in the HHS HIPAA Rules

Transaction means the transmission of information between two parties to carry out financial or administrative activities related to health care. It includes the following types of information transmissions:

1. Health care claims or equivalent encounter information.

2. Health care payment and remittance advice.

3. Coordination of benefits.

4. Health care claim status.

5. Enrollment and disenrollment in a health plan.

6. Eligibility for a health plan.

7. Health plan premium payments.

8. Referral certification and authorization.

9. First report of injury.

10. Health claims attachments.

11. Other transactions that the Secretary may prescribe by regulation.

We change the term “exchange” to the term “transmission” in the definition of Transaction to clarify that these transactions may be one-way communications.