Back to Administrative
Manual index »
Confidentiality
Regence is committed to the highest level of confidentiality
with our members’ personal and medical information,
and actively enforces the Health Insurance Portability
and Accountability Act (HIPAA) regulations. Our employees
are held to high standards in accessing and maintaining
confidential information as outlined in our corporate
and departmental policies and procedures.
You are permitted to disclose protected health information
to Regence for treatment, payment, and health care
operations as long as you and Regence have or have
had a relationship with the member. Generally, an authorization
from the member is not required for disclosures made
for these purposes. Disclosures of protected health
information must be limited to the minimum amount necessary,
except for treatment purposes.
There may be times when medical data is measured to
determine if additional services or benefit changes
should be considered. Such information is reviewed
within the guidelines of our corporate confidentiality
policy and is not shared in a patient-identifiable
format without our members’ consent.
Confidentiality Requirements
As a Regence participating provider, it is your responsibility
to abide by all applicable provisions of the law
concerning the confidentiality of patient information
and records. Regence members are informed of our
commitment to protect the confidentiality of their
information and records. The following is Regence’s
policy regarding patient confidentiality.
Access to Records
Members have the right to obtain and inspect a copy
of their personal information for as long as we or
our business associates maintain it. Requests should
be sent to the address on the member card.
Use of Measurement Data
Regence collects and analyzes claim information to
perform utilization management, case management and
other clinical activities. The data is used to identify
areas of improvement for the care and service members
receive.
Note: To print a PDF document, you need Adobe® Reader®. Download it now for free.
|
