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
********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ===================================================== The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 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/. Posting of advertisements or other commercial use of this listserv is specifically prohibited. ------------------------------------------------------------------------------ |
