Peter:

If an agent certifies that he or she is "compliant" then it would suggest
they understand that they know they cannot use/disclose PHI in the manner
you suggest.  We would also add language to their agreement with us, and use
other means, such as documentation and/or training, to reinforce this
requirement.

If the agent were to misuse PHI despite all of that, I feel safe in saying
they will not be happy when we find out what they have done.  

Also, assume for the moment that the agent is our business associate and
he/she does get an authorization.  If the agent then uses/discloses PHI
inappropriately, it is still a problem.  Having an authorization is no
greater protection than not having one in that situation.  They are still
our business associate and they have still acted inappropriately.  We still
have a responsibility for taking action if we learn of their misdeed.

Ken Fody
Independence Blue Cross 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, March 27, 2002 3:36 PM
To: Fody, Kenneth W.; [EMAIL PROTECTED]
Subject: RE: Agent's Rights to PHI





Ken,

Granted that sometimes the agent is your employee and sometimes he is a
business associate, how would you prevent him from using PHI for marketing
purposes when he is not serving as an "extension of your member service
department?" �In light of the proposed changes to Section 164.508, would
you prohibit the agent from serving as a customer service agent without an
authorization in place?

Peter

************************************************
Peter B. Goldstein
Cap Gemini Ernst & Young, US LLC
4610 South Ulster Street, Suite 600
Denver, Colorado �80237-4323
(303) 796-4148 (Direct)
(413) 740-0512 (Facsimile)
cap comm: 657 4653
[EMAIL PROTECTED]
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