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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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IV. ACCESSe AMENDMENT AND DISCLOSURE ACCOUNTING FOR PROTECTED <br /> HEALTH INFORMATION <br /> A. Access <br /> Administrator will , consistent with 45 C . F . R . § 164. 524(b)(2), make available to the Covered <br /> Person (or the Covered Person ' s Personal Representative) for inspection and copying any of the <br /> Protected Health Information about the Covered Person that qualifies as part of a Designated <br /> Record Set that Administrator has in its custody or control , and that is not exempted from access <br /> by 45 C . F . R. § 164 . 524(a), so that GHP can meet its access obligations under 45 C . F . R. § 164 . 524 . <br /> B. Amendment <br /> Administrator will , consistent with 45 C . F . R . § 164 . 526(b)(2 ), amend, pursuant to a Covered <br /> Person ' s written request to amend (or a written request to amend by the Covered Person ' s <br /> Personal Representative) , any portion of Protected Health Information about the Covered Person <br /> that qualifies as part of a Designated Record Set that Administrator has in its custody or control , <br /> so that GHP can meet its amendment obligations under 45 C . F . R . § 164 . 526 . <br /> Co Disclosure Accounting <br /> So that GHP may meet its disclosure accounting obligations under 45 C . F . R . § 164 . 5285 <br /> Administrator will do the following: <br /> 1 . Disclosure Tracking <br /> Starting April 14 , 2003 , Administrator will , consistent with 45 C . F . R. § 164 . 528 (b) , record <br /> each disclosure of Protected Health Information that is not excepted from disclosure <br /> accounting under 45 C . F . R . § 164 . 528 (a) that Administrator makes to GHP or to a third <br /> party ("Accountable Disclosures") , <br /> 2 . Disclosure Tracking Time Periods <br /> Administrator will have available for Covered Person the disclosure information for each <br /> Accountable Disclosure for at least six (6) years immediately following the date of the <br /> Accountable Disclosure ( except Administrator will not be required to have disclosure <br /> information for disclosures occurring before April 14, 2003 ) . <br /> 3 . Provision of Disclosure Information <br /> Administrator will , consistent with 45 C . F . R . § 164 . 528 (c)( 1 ), make available to the <br /> Covered Person (or the Covered Person ' s Personal Representative) the disclosure <br /> information regarding the Covered Person, so that GHP can meet its disclosure accounting <br /> obligations under 45 C . F . R . § 164 . 528 . <br /> D. Restriction Requests <br /> GHP will direct a Covered Person to promptly notify Administrator in the manner designated by <br /> Administrator of any request for restriction on the use or disclosure of Protected Health <br /> Information about a Covered Person that may affect Administrator. Consistent with 45 C . F . R. § <br /> 164 . 522 (a), and on behalf of GHP , Administrator will agree to or deny any such restriction <br /> 7 <br /> HIPAMBA Amend to ASO Agmt - fini <br /> August 12, 2004 <br />
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