Is it marketing for a covered entity to describe the entities participating in a health care provider network or a health plan network?
No. The HIPAA Privacy Rule excludes from the definition of “marketing,” communications by a covered entity to describe the entities participating in a health care provider network or a health plan network. Thus, it would not be marketing for a health plan or insurer to mail its members or enrollees a list of health care providers in the health plan network or for an independent physicians association to send its patients a preferred provider list.
Related Questions
- May a health care provider disclose protected health information to a health plan for the plans Health Plan Employer Data and Information Set (HEDIS)?
- How would a provider, health plan, or health care clearinghouse obtain the EIN of an employer for use in electronic health care transactions?
- Is it marketing for a covered entity to describe the entities participating in a health care provider network or a health plan network?
