How does the HIPAA Privacy Rule affect me and how I deal with the State Health Plan and its claims processor (Blue Cross and Blue Shield)?
First, the State Health Plan wants to point out that the HIPAA Privacy Rule does not affect your coverage under the State Health Plan. However, as a result of this Rule, the two biggest changes regarding how you deal with the State Health Plan are: (1) the requirement that the State Health Plan receive your written authorization before speaking to someone else about your PHI; and (2) verifying the identity of the person asking for your PHI. Authorizations: Generally, the State Health Plan and its claims processor (Blue Cross and Blue Shield of North Carolina) will require written authorization from you before they will discuss your PHI with another person. This written authorization must be on a certain form. Because of an exception to the HIPAA Privacy Rule, the pharmacy benefit manager (Medco) generally will not require your written authorization before it will discuss your PHI with another person. However, the pharmacy benefit manager will ask the caller certain questions to make su
Related Questions
- How does the HIPAA Privacy Rule affect me and how I deal with the State Health Plan and its claims processor (Blue Cross and Blue Shield)?
- Generally, what does the HIPAA Privacy Rule require my health care provider and health plan to do?
- Are State, county or local health departments required to comply with the HIPAA Privacy Rule?
