To file your complaint electronically, go to the Administrative Simplification Enforcement Tool (ASET) under the "Related Links Outside CMS".

To file your complaint in writing, go to Downloads below.

Para completar el formulario de quejas, ver Descarga (Downloads) abajo.

For technical assistance on specific Transactions and Code Set issues, refer to the official Health Insurance Portability & Accountability Act of 1996 (HIPAA) Implementation Guides Version 4010 available for download at the Washington Publishing Company (WPC) website for a modest fee.  For the updated Version 5010 refer to the Accredited Standards Committee (ASC x12) website.  Materials are available for a modest fee.  You will find the links in the "Related Links Outside CMS" section below.

Downloads
HIPAANon-PrivacyComplaintForm [PDF, 89KB] Formulariodequejas [PDF, 126KB]
Related Links Inside CMS
There are no Related Links Inside CMS.
Related Links Outside CMS
ASET WPC ASC X12