My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2023-098B
CBCC
>
Official Documents
>
2020's
>
2023
>
2023-098B
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/18/2024 12:03:39 PM
Creation date
3/18/2024 11:53:00 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/16/2023
Control Number
2023-098B
Agenda Item Number
12.D.2.
Entity Name
Blue Cross and Blue Shield
Subject
Shield Transition Health Plan Administrative Services from
Blue Cross Shield of Florida Inc.(Florida Blue)
to Blue Cross Blue Shield National Alliance effective 10/01/2023 thru 9/30/2026
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
54
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
B. Security of Electronic Protected Health Information <br />Administrator will develop, implement, maintain, and use administrative, technical, and <br />physical safeguards that reasonably and appropriately protect the confidentiality, <br />integrity, and availability of Electronic Protected Health Information that Administrator <br />creates, receives, maintains, or transmits on behalf of GHP consistent with the Security <br />Rule, 45 C.F.R. Part 164, Subpart C. <br />VII. INSPECTION OF INTERNAL PRACTICES, BOOKS, AND RECORDS <br />Administrator will make its internal practices, books, and records relating to its use and disclosure <br />of Protected Health Information available to DHHS to determine GHP's compliance with 45 <br />C.F.R. Part 164, Subpart E "Privacy of Individually Identifiable Health Information." <br />PART 3—EMPLOYER'S RESPONSIBILITIES <br />VIII. DATA EXCHANGE BETWEEN EMPLOYER AND ADMINISTRATOR <br />A. Enrollment Data and Disenrollment Data <br />Administrator may disclose to Employer the minimum necessary information regarding <br />whether an individual is a Covered Person participating in GHP or enrolled or disenrolled <br />from coverage under the GHP. <br />Employer may electronically exchange data with Administrator regarding the enrollment <br />and disenrollment of Covered Persons as participants in GHP using the Enrollment and <br />Disenrollment in Health Plan Standard Transaction (ASC X12N 834 -Benefit Enrollment <br />and Maintenance) as specified in 45 C.F.R. Part 162, Subpart O. <br />B. Other Data Exchanges and Notifications <br />Employer will exchange with Administrator all data not otherwise addressed in this <br />Section IX and any notification by using such forms, physical formats, or electronic <br />formats as Administrator may approve. Employer will furnish all information reasonably <br />required by Administrator to implement such data exchanges or notifications. <br />IX. SUMMARY HEALTH INFORMATION <br />Upon Employer's written request for the purpose either (A) to obtain premium bids for providing <br />health insurance coverage under GHP, or (B) to modify, amend, or terminate GHP, Administrator <br />will provide Summary Health Information regarding the Covered Persons participating in GHP to <br />Employer. <br />X. EMPLOYER'S CERTIFICATION <br />Employer hereby makes the certification specified in EXHIBIT 2 so that Employer may request <br />and receive the minimum necessary Protected Health Information from Administrator for those <br />plan administration functions that Employer will perform for GHP. GHP therefore authorizes <br />Administrator to disclose the minimum necessary Protected Health Information to those authorized <br />representatives of Employer as specified in EXHIBIT 3 for the plan administration functions that <br />Employer will perform for GHP as specified in GHP's Plan Document as amended and in <br />47 <br />
The URL can be used to link to this page
Your browser does not support the video tag.