Patient Identification Number Standard v3

UHIN Standard Patient Identification Number is compatible with all HIPAA requirements.

Purpose:  The purpose of this Standard is to describe the standard for the patient identification number in Utah.

Applicability:  This Standard applies to all electronic transactions exchanged in the State of Utah.

Definitions:

Primary standard identifier: local patient/member identifier.

• For a payer this would be the payer assigned member identifier.
• For a provider/hospital this would be the patient identifier.

Details:

1. UHIN will adopt the National Individual Identifier when it is implemented.
2. The primary standard identifier is the number is used in administrative transactions including claims, eligibility inquiry, and remittance advice etc.
3. The identifier must be an alpha-numeric identifier with no special characters. Special characters include asterisk *, dash -, slash / \, tilde ~ or number sign # etc.
4. The Social Security Number is not allowed to be used for patient/member identification.

IMPLEMENTATION ISSUES:

1. Payers will assist in educating provider community about this Standard.
2. This Standard remains in effect until the issuance of the National Individual Identifier Rule.

History: (MM/DD/YY)

* A = Amendment

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