HIPAA (Health Insurance Portability and Accountability Act)
EBPA has devoted considerable resources to achieve our goal regarding compliance with the Health Insurance Portability and Accountability Act (HIPAA). EBPA prides itself in conducting business in compliance with the standards imposed by HIPAA as well as requiring the same compliance with these standards by anyone with whom we do business. EBPA is committed to ensuring the protection and privacy of your Protected Health Information (PHI).
For those Group Health Plan Participants whose Plans have issued Notice of Privacy Practices, your individual Group Health Plans Notice of Privacy Practices will be posted in the Document Library on the secure portion of the website under the tab "Your Plan Benefits." A login and password are required to enter this portion of the website.
Please find below a list of our HIPAA compliant documents used in the processing of individual requests for rights granted under HIPAA.
- Authorization to Release Information
This form is required to be submitted to EBPA in certain circumstances when someone other than the subject of the PHI is requesting a release of information. This excludes requests for specific claims information. Specific Claims Information includes the following pieces of information about a given claim: membership status, type and terms of the Certificate, allowed benefits, whether benefits were paid, dates of payment, total family deductible remaining or met and individual deductible remaining or met. This form will also be required to be submitted for any release of information related to Sensitive Issues to someone other than the subject of the PHI. Sensitive Issues include the following categories of PHI: Alcohol and/or Chemical Dependency, Reproductive Health, Sexually Transmitted Diseases, and Mental Health/Psychiatric Disorders.
- Confidential Communications Request
This form is required to be submitted to EBPA by any Individual requesting alternative treatment of communication of their Protected Health Information.
- Amendment Request
This form is required to be submitted to EBPA by any Individual requesting an amendment to their Protected Health Information.
- Access Request
This form is required to be submitted to EBPA by any Individual requesting access to their Protected Health Information.
- Disclosure Accounting Request
This form is required to be submitted to EBPA by any Individual requesting an accounting of disclosures made by or on behalf of EBPA of their Protected Health Information
