I have a privacy related question that I just can't seem to find a specific answer for. I am dealing with a TPA/Broker type environment that has about 80% of the calls from non-providers whose parents are calling on behalf of their adult college-aged children. This is probably because the students either don't understand the insurance process, don't have time to handle their claims, or because the parents still handle all the child's finances. The nature of the calls are everything from claims payment status to inquiries about problems. I can't find anything in the HIPAA privacy regs. that specifically addresses this issue. Mostly, I have found language regarding being a "personal representative". However, that seems to address minor children, or situations where the parent has some sort of legal authority over an adult child.
My question is, under HIPAA, is there any sort of language or interpretation that allows/covers the above situation whereby we do not have to get the insured's consent to discuss his or her claim with their parents?
Dale W. Pocklington, MS, MHA, CDIA, CCA
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