Hi All,
 
  In the Privacy Regulation, it mentions the "right" to ask for Private Communications if the person alleges the potential for harm if the contract holder would find out about a medical encounter  (i.e. 18 year old college student gets birth control pills, and says Daddy would kill me if he found out).  My question is, must we tell everyone involved if we received a request for Private Communications?
 
  Let's put it in this context...  If we receive a 276 claims status request, should we inform the provider on the 277 that we have a "Private Communications" request on this person?  If the provider signs on to our (HIPAA transaction compliant) claims status web page, should we notify them of the request?  If the answer is yes, how do we do it in a compliant way... what data element do we use on the 277 transaction to let the provider know?  Could we open a small window with flashing red borders on the web page?  Conversely, if the provider has been asked for "Private Communications", are they obligated to tell us (the payer) on the 837 transaction (or any other way).  Are we obligated to react if the provider tells us instead of the person asking us directly? 
 
  I know that I'm crossing regulation "borders" here, but I'm primarily asking from a privacy point, but the transactions could become the communications mechanism.
 
  Any observations, suggestions, or whatever are welcome.
 
Thanks,
 
Jim
 


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