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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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Procedures for Complying With Individual Rights <br /> 1 . Individual ' s Request for Access <br /> " Designated Record Set " Defined <br /> Designated Record Set is a group of records maintained by or for the County that <br /> includes : <br /> • the enrollment, payment, and claims adjudication record of an individual <br /> maintained by or for the Plan; or <br /> • other protected health information used, in whole or in part, by or for the Plan <br /> to make coverage decisions about an individual . <br /> Procedure <br /> Request From Individual, Parent of Minor Child, or Personal Representative. Upon <br /> receiving a written request from an individual (or from a minor's parent or an individual' s <br /> personal representative) for disclosure of an individual 's PHI, the employee must take the <br /> following steps . <br /> • Follow the procedures for verifying the identity of the individual (or parent or <br /> personal representative) set forth in " Verification of Identity of Those Requesting <br /> Protected Health Information. " <br /> • Review the disclosure request to determine whether the PHI requested is held in <br /> the individual 's designated record set . See the Privacy Official if it appears that the <br /> requested information is not held . in the individual' s designated record set . No <br /> request for access may be denied without approval from the Privacy Official. <br /> • Review the disclosure request to determine whether an exception to the disclosure <br /> requirement might exist ; for example, disclosure may be denied for requests to <br /> access psychotherapy notes , documents compiled for a legal proceeding, certain <br /> requests by inmates , information compiled during research when the individual has <br /> agreed to denial of access , information obtained under a promise of <br /> confidentiality, and other disclosures that are determined by a health care <br /> professional to be likely to cause harm . See the Privacy Official if there is any <br /> question about whether one of these exceptions applies. No request for access <br /> may be denied without approval from the Privacy Official. <br /> • Respond to the request by providing the information or denying the request within <br /> 30 days (60 days if the information is maintained off- site) . If the requested PHI <br /> cannot be accessed within the 30-day (or 60 - day) period , the deadline may be <br /> extended for 30 days by providing written notice to the individual within the <br /> original 30 - or 60 -day period of the reasons for the extension and the date by <br /> which the County will respond . <br /> • A Denial Notice must contain ( 1 ) the basis for the denial , (2) a statement of the <br /> individual ' s right to request a review of the denial , if applicable , and ( 3 ) a <br /> 27 <br />
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