HIPAA PRIVACY RULE
Complaint Form
Health Insurance Portability & Accountability Act 

AMA HIPAA Transaction Code Set Complaint Form

If you experience problems related to compliance with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) Transaction and Code Set Standards, you can indicate such problems on this complaint form. Health payers and clearinghouses must be able to process claims in HIPAA-compliant electronic format. Information gathered through the complaint form is critical to help the AMA identify and combat the regulatory noncompliance of covered entities.