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Health Plan Identifier

Health Plan (HPID) and Other Entity Identifier (OEID) applications are available in the Health Plan and Other Entity Enumeration System (HPOES)!

Learn more about the application process to begin planning for HPIDs and OEIDs.

Now available are videos that walk through each step of the application process to obtain a HPID for a controlling health plan (CHP), a subhealth plan (SHP), and an other entity identifier (OEID).

View the data elements that will be collected for HPID (CHP and SHP) and OEID applications and the subhealth plan category definitions.

Questions regarding your HPID enumeration?

We now have an HPID User Manual (10, 836 KB) available.  This user manual explains the user functionality of the HPOES module within the Health Insurance Oversight System (HIOS).  This manual provides step-by-step instructions for the features and functionalities available in HPOES.

Health Plan and Other Entity Enumeration System (HPOES) Past Presentations

View this HPID and OEID System Overview presentation to see an overview of the HPID and OEID application process that was featured in the February 2013 webinars.

In this video presentation, CMS provides an overview of the HPID and OEID policy and frequently asked questions. In addition, there will be a step-by-step walkthrough of a decision tree to help viewers understand the requirements that pertain to them.   

In this video presentation, CMS provides an overview of the HPID and OEID policy and the Health Plan and Other Entity Enumeration System (HPOES).  Viewers will learn more about the requirements in the HHS final rule published on September 5, 2012, that adopted a standard for a unique health plan identifier (HPID).  In addition, there will be a step-by-step description of how to access HPOES and create an account. Once in HPOES, a user will have access to educational materials and receive email updates.

HPID Announcement

On October 1, and October 15, 2012, The Centers for Medicare & Medicaid Services (CMS) hosted free webinars that provided an overview of the HPID and OEID policy and the Health Plan and Other Entity Enumeration System (HPOES).

Due to the number of industry participants that attended the webinars, we will hold monthly webinars beginning in November. These webinars will provide education on the HPID/OEID policy and HPOES, as well as an opportunity to ask questions. We will provide more information about these webinars on this website as it becomes available.

We also encourage those interested in the HPID and OEID to register for a HPOES account. Not only does HPOES have educational material and training information, but it also provides email notifications.  If you have any questions, please contact the HIOS Helpdesk at Phone: 1-877-343-6507 or Email: insuranceoversight@hhs.gov.

Correction Notice on the Health Plan Identifier Rule published, October 4, 2012

A correction notice was published that corrects technical errors in the final rule titled ``Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets'' that appeared in the September 5, 2012 Federal Register. While there are two edits to tables in the impact analysis, the main correction was the compliance dates for HPID. Health plans (except small health plans) are required to obtain HPIDs by Nov. 5, 2014. Small health plans are required to obtain HPIDs by Nov. 5, 2015. All covered entities are required to use HPIDs in the standard transaction by Nov. 7, 2016. For more information, please view the correction notice.

HPID final rule published on September 5, 2012 (CMS-0040F)  

The Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced a final rule that will save time and money for physicians and other health care providers by establishing a unique health plan identifier (HPID).  For more information, please view the press release, fact sheet, and final rule.

HHS publishes proposed rule for Health Plan Identifier, April 17, 2012 (CMS 0040-NPRM)

A proposed rule published by the Department of Health and Human Services (HHS) establishes a unique health plan identifier (HPID) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards for electronic health care transactions. The rule also proposes a data element that will serve as an “other entity” identifier (OEID) for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions.  More information on the proposed rule is available on fact sheets.  View the proposed rule.