We feel their needs to be a signed authorization from the member to release
PHI to a broker on behalf of the member.
Thanks,
Peg McCauley
Privacy Office
Privacy Specialist
-Original Message-
From: Catherine Lohmeier [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 20, 2003 3:32 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Disclosures to Insurance Brokers
I am looking for citations from the Privacy rule that support the
disclosure of PHI to Insurance Brokers when the member asks the
broker to intervene on their behalf with the Health Plan or Group
Health Plan.
Assume the broker has a BA contract in place with the Health Plan or
Group Health Plan.
I feel the BA might cover it as the broker would be acting on behalf
of the Health Plan to answer questions for the member. But the
member may want help on a resolving a specific claim and that is
outside of the function that a broker usually has contracted to do
with the Health Plan (it is my understanding that brokers work mostly
in the enrollment phase.)
I don't see personal representative coming into play here. Is it
possible an authorization would be required for every one of these
situations...?
Any thought or suggestions on where to go to research this. Has it
already been discussed? Thanks in advance.
Catherine Lohmeier
Sr. Business Consultant
PCI: e-commerce for healthcare
ph. 402-304-1918
www.hipaasurvival.com
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on this listserv therefore represent the views of the individual participants, and do
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If
you wish to receive an official opinion, post your question to the WEDI SNIP Issues
Database at http://snip.wedi.org/tracking/. These listservs should not be used for
commercial marketing purposes or discussion of specific vendor products and services.
They also are not intended to be used as a forum for personal disagreements or
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