|
Members' Privacy
Protecting your health information
New federal privacy regulations are now in effect that tighten restrictions regarding the release of personal health information without the subject’s prior written authorization.
For example:
• A wife is not able to call and check on referrals for her husband unless there
is a signed authorization form on file.
• A son or daughter of an elderly parent cannot receive information regarding a
parent without a signed authorization on file.
• Parents with dependent children age 18 or older cannot get information about
their child’s claims without a signed authorization on file.
The federal Health Insurance Portability and Accountability Act (HIPAA) established these rules for the protection of personal health information, including care provided for past and present medical and mental health conditions. Protected health information about health plan members or their dependents age 18 and older cannot be released, even to family members, without a signed authorization form.
Parents with children under 18 are still able to access their child’s health information. Other privacy laws protect some specific medical information for children.
Since each authorization form is a consent that allows the authorization of multiple individuals or organizations to receive protected health information.
Privacy Notice
Purpose: This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Q&A
Authorization to Disclose Protected Health Information
Purpose: This form is used to authorize Univera Community Health to disclose protected health information. The authorization is voluntary.
Department of Health’s Authorization for release of Confidential HIV Related Information
Purpose: Confidential HIV related information is any information indicating that a person has an HIV related test, or has HIV infection, HIV related illness or AIDS.
Accounting of Disclosure Request
Purpose: This form is used to document an individual’s request for an accounting of disclosures of protected health information.
Confidential Communication Request
Purpose: This form is used for an individual’s request that, to avoid endangering the individual, we use an alternative location when communicating protected health information.
Access Request
Purpose: This form is used for an individual’s request to inspect and/or obtain copies of an individual’s protected health information contained in our designed record set, or the designed record set of our business associates.
Amendment Request
Purpose: This form is used for an individual’s request to amend protected health information contained in our designed record sets of the designated record sets of our business associates.
Protected Health Information Authorization Cancellation Form
Purpose: This form is used for individuals to request to cancel their authorization to share their protected health information.
|
