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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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authorization forms. All authorizations for use or disclosure for non-Plan purposes <br /> must be on a form provided by (or approved by) the Privacy Official . <br /> • Disclosures must comply with the "Minimum-Necessary Standard. " <br /> • Disclosures must be documented in accordance with the procedure for "Documentation <br /> Requirements . " <br /> Questions ? Any employee who is unsure as to whether a task he or she is asked to perform <br /> qualifies as a payment activity or a health care operation of the Plan should contact the <br /> Privacy Official, Ann Rankin, Human Resources Department, 1840 25a' Street, Vero Beach, <br /> Florida, 32960, Phone . 772 . 567 . 8000, Ext 1448 and Fax: 772 . 770. 5004 . <br /> 2 . Mandatory Disclosures of PHI : to Individuals and DHHS <br /> Procedure <br /> • Request From Individual. Upon receiving a request from an individual (or an <br /> individual representative) for disclosure of the individual' s own PHI, the employee <br /> must follow the procedure for " Disclosures to Individuals Under Right to Access <br /> Own PHL " <br /> • Request From DHHS . Upon receiving a request from a DHHS official for <br /> disclosure of PHI, the employee must take the following steps : <br /> • Follow the procedures for verifying the identity of a public official set forth in <br /> "Verification of Identity of Those Requesting Protected Health Information . " <br /> • Disclosures must be documented in accordance with the procedure for <br /> " Documentation Requirements . " <br /> 3 . Permissive Disclosures of PHI : for Legal and Public Policy Purposes <br /> Procedure <br /> • Disclosures for Legal or Public Policy Purposes. An employee who receives a <br /> request for disclosure of an individual ' s PHI that appears to fall within one of the <br /> categories described below under " Legaland and Public Policy Disclosures Covered " <br /> must contact the Privacy Official . Disclosures may be made under the following <br /> procedures : <br /> The disclosure must be approved by the Privacy Official <br /> • Disclosures must comply with the "Minimum-Necessary Standard . " <br /> • Disclosures must be documented in accordance with the procedure for <br /> " Documentation Requirements . " <br /> Legal and Public Policy Disclosures Covered <br /> A . Disclosures about victims of abuse, neglect or domestic violence, if the following <br /> conditions are met : <br /> 18 <br />
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