Hello, I have a question with regard to lookup of patient information for the HIPAA named transaction sets. We utilize a unique identifier for each subscriber (patient) within our health care benefit programs. Thisunique identifier is available on the member id card along with the subscriber (patient) name. However, we still continue to receive claims with member ID's for the mother or father of children, or spouse's ID number for the husband or wife. As a result, we are concerned that we might not be in compliance with the privacy regs with regard to protected health care information, for our beneficiaries, when matching the demographic data received to our internal files.
1. If we receive any of the named transactions that require identification of a patient for health care services,and we utilize an incorrect member ID that is sent to us, and we provide a response, that includes protected health care information, utilizing that information to create our response, are we violating the Privacy Regulation? Thank you Cindy Anaya Health Administration Center Denver, CO 80206 303-331-7668 ********************************************************************** To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=privacy and enter your email address.
