What is a Covered Entity Under HIPAA?

What is a HIPAA covered entity? A HIPAA covered entity can be any of the following:

  1. A health plan
  2. A healthcare clearinghouse
  3. A health care provider who transmits any health information in electronic form in connection with insurance.


For example, an all-cash plastic surgeon in Beverly Hills who never sends patient info can escape the HIPAA Rules and would thus not be considered as a HIPAA covered entity.

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