Confidentiality of Member Information. PROVIDER agrees to abide by all Federal and State laws regarding confidentiality, including unauthorized uses of or disclosures of patient information and personal health information.
(a) PROVIDER shall safeguard all information about Members according to applicable State and federal laws and regulations. All material and information, in particular information relating to Members or potential Members which is provided due to, or is obtained by or through PROVIDER’s performance under this Agreement, whether verbal, written, tape, or otherwise, shall be reported as confidential information to the extent confidential treatment is provided under State and federal laws. PROVIDER shall not use any information so obtained in any manner except as necessary for the proper discharge of PROVIDER’s obligations and the securement of PROVIDER’s rights under this Agreement.
(b) Neither XXXXX nor PROVIDER shall share confidential information with any Member(s)’ employer, absent the Member(s)’ written consent for such disclosure. PROVIDER agrees to comply with the requirements of the Health Insurance Portability and Accountability Act (“HIPAA”) relating to the exchange and to the storage of Protected Health Information (“PHI”), as defined by Title 45 of the CFR, Part 160.103 in whatever form or medium PROVIDER may obtain and maintain such PHI. PROVIDER shall cooperate with XXXXX in its efforts to ensure compliance with the privacy regulations promulgated under HIPAA and other related privacy laws.
(c) PROVIDER and XXXXX acknowledge and agree the activities conducted to perform the obligations undertaken in this Agreement are or may be subject to HIPAA as well as the regulations promulgated to implement HIPAA. PROVIDER and XXXXX agree to conduct their respective activities, as described herein, in accordance with the applicable provisions of HIPAA and such implementing regulations. PROVIDER and XXXXX further agree to the extent HIPAA or such implementing regulations require amendments(s) hereto, PROVIDER and XXXXX shall conduct good faith negotiations to amend this Agreement.
Confidentiality of Member Information. Health Options is committed to ensuring and safeguarding the confidentiality of its Members’ personal and medical information. We are subject to various federal and state laws regarding how we access, use, and disclose Member information. We will access, use, and disclose the minimum information necessary to accomplish the purpose of the task. We will only access, use, and disclose your information as allowed by law or obtain your specific permission to access, use, or disclose your information. We will not share your personal information or protected health information with any plan sponsor (such as employers), as applicable, without a signed disclosure authorization form from you. Examples of when we will need to access, use, and disclose Member information include:
a. Obtaining and sharing information with your Providers so we can perform Prior Approval activities;
b. Conducting quality activities;
c. Obtaining information from Providers so we can properly pay Benefits; and
d. When we are required or authorized by law to access, use, or disclose information. Health Options sometimes contracts with other persons and entities to perform tasks on behalf of Health Options. Health Options requires these other persons and entities to comply with Health Options’ policies on protecting Member information and applicable state and federal laws. There may be times when Health Options needs your (or your Designee’s) written authorization to disclose your information. This may be true even if you request that we disclose your information. In cases where we need written authorization, we will provide a copy of our written authorization form to you (or your Designee) to complete and sign. We will protect your Protected Health Information as required by the Health Information Portability and Accountability Act (HIPAA). For more details on how we will handle your Protected Health Information, please see our Notice of Privacy Practices at xxxxx://xxx.xxxxxxxxxxxxx.xxx/privacy-policy.
Confidentiality of Member Information. County agrees to comply with applicable Federal and State laws and regulations governing the confidentiality of Member medical and other information. County further agrees:
Confidentiality of Member Information. Notwithstanding anything to the contrary in this Agreement or the Subscription Agreement, the Company and the Investment Adviser shall not, and shall procure that their respective Affiliates that directly or indirectly receive any information from the Company or the Investment Adviser regarding the identity of a Member or its Expanded Affiliates as investors in the Company or other information provided by a Member to the Company or the Investment Adviser shall not, disclose any information provided by such Member to the Company or the Investment Adviser without such Member’s prior written consent (which may be withheld for any or no reason); provided that the Company will be entitled to disclose information the Company or the Investment Adviser reasonably believes is required: (a) on a confidential and need-to-know basis to its directors, officers and employees involved in the “know-your-customer” process and administrators of the Company and the Investment Adviser; (b) on a confidential and need-to-know basis to any professional advisors of the Company or the Investment Adviser or any counterparty or prospective counterparty (including any Lender or Portfolio Company), which requests such information for purposes of complying with its “know your customer” procedures or withholding requirements; and (c) by law, regulation or legal process or pursuant to the request of any regulatory body, self-regulatory body, securities exchange or tax authority, and the Company and the Investment Adviser shall be responsible for the disclosure of any information by any person described in clause (a) above in violation of this Paragraph 4 (as if this Paragraph 4 applied directly to such person). For the avoidance of doubt, nothing in this Paragraph 4 shall require a Member to provide the Company, the Investment Adviser or any of their Affiliates with any non-public or financial information of such Member or any Expanded Affiliates thereof. By way of clarification, the identification of a Member or its Expanded Affiliates in this Agreement or in other documents filed on behalf of the Company with the SEC or other governmental organization pursuant to applicable law shall not be a violation of this Paragraph 4.
Confidentiality of Member Information. Both parties agree to comply with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and the Health Information Technology for Economic and Clinical Health Act ("HITECH Act"), and as both may be amended, as well as any other applicable Regulatory Requirements regarding confidentiality, use, disclosure, security and access of the Member's personally identifiable information ("PII") and protected health information ("PHI"), (collectively "Member Information"). Provider shall review all Member Information received from Anthem to ensure no misrouted Member Information is included. Misrouted Member Information includes but is not limited to, information about a Member that Provider is not currently treating. Provider shall immediately destroy any misrouted Member Information or safeguard the Member Information for as long as it is retained. In no event shall Provider be permitted to misuse or re- disclose misrouted Member Information. If Provider cannot destroy or safeguard misrouted Member Information, Provider must contact Anthem to report receipt of misrouted Member Information.
Confidentiality of Member Information. UBH and Provider shall ensure that all identifiable information regarding Member health, diagnosis and treatment is adequately protected and remains confidential in compliance with all applicable state and federal laws and regulations and professional ethical standards. UBH and Provider shall provide employees or agents of the Pennsylvania Department of Health, the Pennsylvania Insurance Department, and, when necessary, the Pennsylvania Department of Public Welfare, access to records for the purpose of quality assurance, investigation of complaints or grievances, enforcement or other activities related to compliance applicable state and federal laws and regulations if such employees have direct responsibilities to review such records.
Confidentiality of Member Information. All information as to personal facts and circumstances concerning Medicaid members obtained by the Contractor shall be treated as privileged communications, shall be held confidential, and shall not be divulged without the written consent of DOM and the written consent of the enrolled member, his/her attorney, or his/her responsible parent or guardian/representative, except as may be required by DOM. The use or disclosure of information concerning members shall be limited to purposes directly connected with the administration of this Contract. All of the Contractor officers and employees performing any work for or on this Contract shall be instructed in writing of this confidentiality requirement and required to sign such a document upon employment and annually thereafter. The Contractor shall immediately notify DOM of any unauthorized possession, use, knowledge, or attempt thereof, of DOM’s data files or other confidential information. The Contractor shall immediately furnish DOM full details of the attempted unauthorized possession, use, or knowledge, and assist in investigating or preventing the recurrence thereof. The Contract shall comply with the applicable provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996; the Health Information Technology for Economic and Clinical Health Act (HITECH Act), Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009, and additional regulations as referenced in Appendix E, Business Associate Agreement, of the RFP.
Confidentiality of Member Information. County agrees to comply with applicable Federal and State laws and regulations governing the confidentiality of Member medical and other information. County further agrees:
7.7.1 Health Insurance Portability and Accountability Act (HIPAA). County shall comply with HIPAA statutory and regulatory requirements (“HIPAA requirements”), whether existing now or in the future within a reasonable time prior to the effective date of such requirements. County shall comply with HIPAA requirements as currently established in CalOptima Policies. County shall also take actions and develop capabilities as required to support CalOptima compliance with HIPAA requirements, including acceptance and generation of applicable electronic files in HIPAA compliant standards formats.
Confidentiality of Member Information. Any data or information pertaining to the diagnosis, treatment, or health of any Member obtained from such person or from any provider by UBH shall be held in confidence and shall not be disclosed to any person except (a) to the extent that it may be necessary to carry out the purposes of the Nebraska Health Maintenance Organization Act; (b) upon the express consent of the Member; (c) pursuant to statute or court order for the production of evidence or the discovery thereof; or (d) in the event of a claim or litigation between such person and UBH in which such data of information is pertinent. UBH shall be entitled to claim any statutory privileges against such disclosure which the provider who furnished such information to UBH is entitled to claim. UBH and Provider agree comply with and to cooperate with each other in an effort to comply with state and federal laws established to protect the security, confidentiality and integrity of customer information.
Confidentiality of Member Information. A. The Employer understands and acknowledges that HNE will only release non- confidential member information to Employer if the Employer requests such information, in writing, for purposes such as billing, enrollment or eligibility verification. Non-confidential member information shall consist only of names, addresses and ages of enrolled subscribers and their dependents. No other information shall be released to employers, including brokers, agents and consultants for employers, unless the Employer obtains a specific consent from the Member or unless the Employer is auditing the Plan in accordance with subsection B of this section.
B. Employer must give HNE 30 days prior written notice of its intent to audit and its need for such information. All audits and information disclosure shall occur at a time and place convenient to HNE and shall be conducted at Employer’s expense. Any representative of the Employer engaged in such audit shall agree to use any disclosed information solely for the purposes of administering the Plan, to keep such information confidential and not to disclose the information to any other entity or person.
C. HNE may release aggregate data to an employer, as long as the information is encrypted or de-identified so that all information that clearly identifies a member, or that could be used to identify a member, has been removed.
D. Any reports, information or documentation provided, made available, or learned by either of the parties to this Agreement which contain personally identifiable or health information about any Member or health care provider or which contain information about either party’s business or operations which is not available to the public, or which contain information which has been designated as proprietary or confidential by either party shall be held in strictest confidence, used solely to perform the obligations under this Agreement or to administer the Plan, not be disclosed to any other entity or person, and maintained in accordance with the requirements of all applicable laws.
