Like most everyone else, we've been stuggling with getting our arms around exactly 
what is considered PHI.  We're taking a very restrictive view and pretty much starting 
with the 18+ de-identifiers, in an by themselves, as being our universe.  'nuf said on 
the 'what' - here's the other side of the coin:  
Whose information is subject to the rules?   Pretty safe bet that the members are all 
in the mix, problem is who do you treat like a member?  Are prospective members who 
are sending us PHI covered, or do you wait until they become true applicants to begin 
your diligence?  How about a physician who sends us PHI, possibly including 
information on personal health conditions, during the credentialing process? Should 
their PHI be subject to the HIPAA regs?  OK, one more - since we are a plan, how about 
our employees who are not members but provide PHI during their employment application 
process?    Be interested to hear how others are determining the bounds of who's in, 
who's out - thx - b

Bill Bernath
Blue Cross Blue Shield of North Carolina 
Privacy Office
(919) 765-7006
[EMAIL PROTECTED]



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