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 --- 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/. 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 unprofessional communication at any time. You are currently subscribed to wedi-privacy as: archive@mail-archive.com To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
