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AUTHORIZATIONS FOR RELEASE OF PROTECTED HEALTH INFORMATION
HIPAA is a federal law
that deals with, among other things, the privacy of your health
information. HIPAA stands for the
Health
Insurance
Portability
and Accountability
Act
of 1996. It protects you against the misuse of your
Protected
Health
Information,
often called PHI, when the PHI is in the hands of a covered health
care provider (doctor, hospital, laboratory, etc.) or health plan such
as Priority Partners. PHI is individually identifiable health
information about a person’s health, the treatment of his or her health
condition, or billing or payment for a person’s health care services.
PHI that is written on paper, contained in email, a fax or a computer,
or spoken is protected by HIPAA.
Under HIPAA,
Priority Partners must ask your permission to release your PHI to
others, with some exceptions. HIPAA permits Priority Partners to
share your PHI with others without your permission to carry out
treatment, payment, or health care operations. This means that
Priority Partners may share your individually identifiable health
information with other people to provide you with medical treatment
and related services, to bill and collect payment for treatment and
services, or to run or evaluate its business practices. Priority
Partners may also share your PHI without your permission when it is
required by law to do so (for example, in response to a subpoena) or
otherwise when it is allowed by HIPAA to do so. For other purposes,
such as sharing your PHI with your attorney, your child’s school, or
even your husband or wife, you must first give Priority Partners
permission to share the information.
For more
information on the manner in which Priority Partners may use your
PHI, with or without your permission, please see our
Notice of
Privacy Practices, which can be found under the link marked
Privacy at the top of
this page. You will also find a link to the forms that gives
Priority Partners permission to release your PHI to others.
Authorization for Release of Health Information – Standing
This Authorization permits another person to access the plan member’s
records and general information on an ongoing basis.
EXAMPLES:
-
A husband or wife wants
his or her spouse to contact PPMCO on his or her behalf
-
An adult child wants his
or her parent to contact PPMCO on his or her behalf
-
A person has been
appointed the plan member’s guardian, personal representative or
healthcare agent. This arrangement requires additional proof of the
person’s legal appointment
Authorization for Release of Health Information – Unique/One Time
Request
This Authorization permits another person to access the plan
member’s records for the specific limited purpose noted on the
authorization.
EXAMPLES:
-
An attorney needs
information from PPMCO regarding a plan member’s accident
-
A plan member permits a
school nurse to contact PPMCO regarding a particular health care
visit
-
A plan member wants her
caseworker to access information on treatment received during a
specific time period
Request
to Inspect and Obtain Copy of a Designated Record Set
This Authorization permits the plan member to receive copies of his
or her own records.
Authorizations can be mailed to:
PPMCO Compliance Department Johns Hopkins Health Care 6704 Curtis Court Glen Burnie, MD 21060
Or faxed to: 410-424-4667
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