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2005-030
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2005-030
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Last modified
7/5/2016 2:27:35 PM
Creation date
9/30/2015 7:40:02 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
01/18/2005
Control Number
2005-030
Agenda Item Number
11.D.1
Entity Name
Blue Cross and Blue Shield of Florida
Symetra :Life Insurance Co.
Subject
HIPAA-AS Addendum to Agreement
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3862
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Use and Disclosure Procedures <br /> 1 . Procedures for Use and Disclosure of PHI <br /> Procedure <br /> Uses and .Disclosures for Plan ' s Own Payment Activities or Health Care <br /> Operations . An employee may use and disclose PHI to perform the Plan's or the County' s <br /> own payment activities or health care operations . <br /> • Disclosures must comply with the "Minimum-Necessary Standard. " (Under that <br /> procedure, if the disclosure is not recurring, the disclosure must be approved by the <br /> Privacy Official .) <br /> • Disclosures must be documented in accordance with the procedure for "Documentation <br /> Requirements . " <br /> Disclosures for Another Entity ' s Payment Activities . An employee may disclose a <br /> Plan participant's PHI to another covered entity or health care provider to perform the other <br /> entity's payment activities . Disclosures may be made under the following procedures : <br /> • Disclosures must comply with the "Minimum-Necessary Standard. " (Under that <br /> procedure, if the disclosure is not recurring, the disclosure must be approved by the <br /> Privacy Official . ) <br /> • Disclosures must be documented in accordance with the procedure for "Documentation <br /> Requirements . " <br /> Disclosures for Certain Health Care Operations of the Receiving Entity . An <br /> employee may disclose PHI for purposes of the other covered entity's quality assessment and <br /> improvement, case management, or health care - fraud and abuse detection programs, if the <br /> other covered entity has (or had) a relationship with the individual and the PHI requested <br /> pertains to that relationship . Such disclosures are subject to the following: <br /> • Disclosures must comply with the "Minimum-Necessary Standard. " <br /> • Disclosures must be documented in accordance with the procedure for "Documentation <br /> Requirements . " <br /> Use or Disclosure for Purposes of Non =Health Benefits . Unless an authorization from <br /> the individual (as discussed in "Disclosures Pursuant to an Authorization") has been received, <br /> an employee may not use a participant's PHI for the payment or operations of the County' s <br /> "non-health" benefits (e. g. , disability, worker's compensation, and life insurance) . If an <br /> employee requires a participant ' s PHI for the payment or healthcare operations of non-Plan <br /> benefits, follow these steps : <br /> • Obtain an Authorization. First, contact the Privacy Official to determine whether an <br /> authorization for this type of use or disclosure is on file . If no form is on file, request an <br /> appropriate form from the Privacy Official . Employees shall not attempt to draft <br /> 17 <br />
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