Electronic Remittance Advice Data Sent to Banks

40.3 - Electronic Remittance Advice Data Sent to Banks (Rev. 2843, Issued: 12-27-13, Effective: 01-28-14, Implementation: 01-28-14) Under the HIPAA Privacy requirements, U. S. health care payers are prohibited from sending table two ASC X12 835 data (portion of ASC X12 835 containing protected patient health care information) (or protected patient health care information in any other paper or electronic format) to a bank, unless: • That bank also functions as a health care data clearinghouse; • The provider has authorized the bank as a health care data clearinghouse to receive that data; and • The bank has signed an agreement to safeguard the privacy and security of the data. The definition of a financial clearinghouse, as used by banks for transfer of funds, differs from the definition of health care data clearinghouse as used by HIPAA. The HIPAA definition must be met if a bank is to be authorized for receipt of table two or equivalent patient health care data. Table two contains protected patient information that is not approved for release to a bank that is not an authorized health care data clearinghouse. A non-health data clearinghouse bank cannot receive ASC X12 835 data, except as provided in table one.