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Category |
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Privacy of Health Information/HIPAA
Covered Entities
Smaller Providers/Small Businesses
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Date Updated |
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| 04/07/2004 11:27 AM |
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Is an entity that is acting as a third party administrator to a group health plan a covered entity? |
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Question |
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Is an entity that is acting as a third party administrator to a group health plan a covered entity? |
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Answer |
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No, providing services to or acting on behalf of a health plan does not transform a third party administrator (TPA) into a covered entity. Generally, a TPA of a group health plan would be acting as a business associate of the group health plan. Of course, the TPA may meet the definition of a covered entity based on its other activities (such as by providing group health insurance). See 45 CFR 160.103.
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