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Where sequential numbers assigned to members of the same family are causing problems.
In the event of duplicates having been issued.
In cases where the person has been a victim of domestic violence or harassment, and there is a clear need to change their number for their personal safety.
When a person has been a victim of identity theft, and his/her Social Security number continues to be problematic.
Where a person has a demonstrable religious objection to a number (such as certain Christians being averse to the number 666).
For all of these conditions, credible third-party evidence such as a restraining order or police report is required.
HIPAA–covered entities such as providers completing electronic transactions, healthcare clearinghouses, and large health plans were required by regulation to use only the NPI to identify covered healthcare providers by May 23, 2007. CMS subsequently announced that as of May 23, 2008, CMS will not impose penalties on covered entities that deploy contingency plans to facilitate the compliance of their trading partners (e.g., those healthcare providers who bill them). The posted guidance document can be used by covered entities to design and implement a contingency plan. Details are contained in a CMS document entitled, “Guidance on Compliance with the HIPAA National Provider Identifier (NPI) Rule.” Small health plans have one additional year to comply.
All individual HIPAA–covered healthcare providers or organizations must obtain an NPI for use in all HIPAA standard transactions, even if a billing agency prepares the transaction. Individual HIPAA–covered healthcare providers include physicians, pharmacists, physician assistants, midwives, nurse practitioners, nurse anesthetists, dentists, denturists, licensed opticians, optometrists, chiropractors, clinical social workers, professional counselors, physical therapists, occupational therapists, prosthetists, orthotists, pharmacy technicians and athletic trainers. Organizations include hospitals, home health care agencies, nursing homes, residential treatment centers, group practices, laboratories, pharmacies and medical equipment companies. Once assigned, a provider’s NPI is permanent and remains with the provider regardless of job or location changes.
Other health industry workers who provide support services but not health care (such as admissions and medical billing personnel, housekeeping staff and orderlies) are not required to obtain an NPI.
There are two restricted types of Social Security cards:
One reads “not valid for employment.” Such cards cannot be used as proof of work authorization, and are not acceptable as a List C document on the I-9 form.
The other reads “valid for work only with DHS authorization”, or the older, “valid for work only with INS authorization.” These cards are issued to people who have temporary work authorization in the U.S from the Department of Homeland Security[26] — the nation’s border agency. They can satisfy the I-9 requirement, if they are accompanied by a work authorization card.
The cards commonly display the cardholder’s name and number.
In 2004 Congress passed The Intelligence Reform and Terrorism Prevention Act; parts of which mandated that the Social Security Administration redesign the SSN card to prevent forgery. From April 2006 through August 2007, the SSA and Government Printing Office (GPO) employees were assigned to redesign the Social Security number card to the specifications of the Interagency Task Force created by the commissioner of Social Security in consultation with the secretary of Homeland Security.
The new SSN card design utilizes both covert and overt security features created by the SSA and GPO design teams.
A Social Security number is very important to have due to its direct connection to the future benefits you may be entitled to receive from the U.S. government.
An SSN is used to track an individual’s yearly earnings and the number of years they’ve worked. These figures are required to compute potential financial benefits, whether they relate to retirement income, disability income, or health insurance.
When people start their working careers, employers request their Social Security numbers as part of the application process. They provide the Internal Revenue Service (IRS) with details of salary payments associated with each SSN and the withholdings made for employees’ contributions to Social Security and Medicare. Employers also report this information to any state that has an income tax.
Other Reasons You May Need an SSN
To open a bank account or other financial account
To apply for a federal loan
To apply for unemployment
As an identifier on tax returns
To get a driver’s license
To obtain a passport
When enrolling in Medicare
The term Social Security number (SSN) refers to a numerical identifier assigned to U.S. citizens and other residents to track income and determine benefits.
The SSN was created in 1936 as part of The New Deal to provide for retirement and disability benefits. The original intention of the SSN was to track earnings and provide benefits. Now, it is used for additional purposes, such as identifying individuals for tax purposes and tracking credit reports.1
Individuals in the U.S. are asked to provide their SSN to obtain credit, open bank accounts, obtain government benefits, make major purchases, and more.
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A Social Security number is a numerical identifier assigned to U.S. citizens and other residents to track income and determine benefits.
The SSN was created in 1936 as part of The New Deal.
SSNs are issued by the Social Security Administration.
To get a Social Security number, you must file Form SS-5 with the Social Security Administration.
SSNs are susceptible to illegal use by those involved in identity theft and fraud.
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The NPI must be used in connection with the electronic transactions identified in HIPAA. In addition, the NPI may be used in several other ways:
by health care providers to identify themselves in health care transactions identified in HIPAA or on related correspondence;
by health care providers to identify other health care providers in health care transactions or on related correspondence;
by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number);
by health plans in their internal provider files to process transactions and communicate with health care providers;
by health plans to coordinate benefits with other health plans;
by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans;
by electronic patient record systems to identify treating health care providers in patient medical records;
by the Department of Health and Human Services to cross reference health care providers in fraud and abuse files and other program integrity files;
for any other lawful activity requiring individual identification.
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Where sequential numbers assigned to members of the same family are causing problems.
In the event of duplicates having been issued.
In cases where the person has been a victim of domestic violence or harassment, and there is a clear need to change their number for their personal safety.
When a person has been a victim of identity theft, and his/her Social Security number continues to be problematic.
Where a person has a demonstrable religious objection to a number (such as certain Christians being averse to the number 666).
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All individual HIPAA–covered healthcare providers or organizations must obtain an NPI for use in all HIPAA standard transactions, even if a billing agency prepares the transaction. Individual HIPAA–covered healthcare providers include physicians, pharmacists, physician assistants, midwives, nurse practitioners, nurse anesthetists, dentists, denturists, licensed opticians, optometrists, chiropractors, clinical social workers, professional counselors, physical therapists, occupational therapists, prosthetists, orthotists, pharmacy technicians and athletic trainers. Organizations include hospitals, home health care agencies, nursing homes, residential treatment centers, group practices, laboratories, pharmacies and medical equipment companies. Once assigned, a provider’s NPI is permanent and remains with the provider regardless of job or location changes.
Other health industry workers who provide support services but not health care (such as admissions and medical billing personnel, housekeeping staff and orderlies) are not required to obtain an NPI.
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The other reads “valid for work only with DHS authorization”, or the older, “valid for work only with INS authorization.” These cards are issued to people who have temporary work authorization in the U.S from the Department of Homeland Security[26] — the nation’s border agency. They can satisfy the I-9 requirement, if they are accompanied by a work authorization card.
The cards commonly display the cardholder’s name and number.
In 2004 Congress passed The Intelligence Reform and Terrorism Prevention Act; parts of which mandated that the Social Security Administration redesign the SSN card to prevent forgery. From April 2006 through August 2007, the SSA and Government Printing Office (GPO) employees were assigned to redesign the Social Security number card to the specifications of the Interagency Task Force created by the commissioner of Social Security in consultation with the secretary of Homeland Security.
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When people start their working careers, employers request their Social Security numbers as part of the application process. They provide the Internal Revenue Service (IRS) with details of salary payments associated with each SSN and the withholdings made for employees’ contributions to Social Security and Medicare. Employers also report this information to any state that has an income tax.
Other Reasons You May Need an SSN
To open a bank account or other financial account
To apply for a federal loan
To apply for unemployment
As an identifier on tax returns
To get a driver’s license
To obtain a passport
When enrolling in Medicare
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The SSN was created in 1936 as part of The New Deal to provide for retirement and disability benefits. The original intention of the SSN was to track earnings and provide benefits. Now, it is used for additional purposes, such as identifying individuals for tax purposes and tracking credit reports.1
Individuals in the U.S. are asked to provide their SSN to obtain credit, open bank accounts, obtain government benefits, make major purchases, and more.
Key Takeaways
A Social Security number is a numerical identifier assigned to U.S. citizens and other residents to track income and determine benefits.
The SSN was created in 1936 as part of The New Deal.
SSNs are issued by the Social Security Administration.
To get a Social Security number, you must file Form SS-5 with the Social Security Administration.
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by health care providers to identify themselves in health care transactions identified in HIPAA or on related correspondence;
by health care providers to identify other health care providers in health care transactions or on related correspondence;
by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number);
by health plans in their internal provider files to process transactions and communicate with health care providers;
by health plans to coordinate benefits with other health plans;
by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans;
by electronic patient record systems to identify treating health care providers in patient medical records;
by the Department of Health and Human Services to cross reference health care providers in fraud and abuse files and other program integrity files;
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