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What Should Health Plans be doing about HIPAA?

Med-QUEST contracts with three private managed care organizations: AlohaCare, Kaiser, and HMSA. These health plans are considered trading partners to Med-QUEST for the purpose of sending and receiving HIPAA-mandated electronic transactions. The three health plans are:

Government agencies acting as health plans for Hawaii Medicaid can look under this section or under the “Other Government Agencies/Divisions” section for relevant transaction and code set information.

Med-QUEST and the QUEST health plans successfully implemented the 834 and 820 transactions, which went into production on November 1, 2003. Med-QUEST thanks the QUEST health plans for their efforts during the testing process and credits the team effort as key to the implementation success.

Health plans will be implementing the 837 Encounter implementation next. The planned implementation date is April 1, 2004. Med-QUEST has provided a draft Companion Document for the transaction, and regularly scheduled meetings will be conducted to review the document and address issues. Plans are encouraged to contact Med-QUEST directly for issues related to the 837 Encounter transaction.


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