Follow the legislation - Fully funded plans must always..., HIPAA - Health Insurance Portability and Accountability, Payment systems records and Case or medical management records - two examples of what members have the right to inspect, copy and in some instances, amend on Protected Health Information records, are..., Password Restrictions - "A member has the right to request a password be placed on his/her file. This means that PHI should not be shared, displayed or discussed unless the caller is able to provide the password".  Belongs to..., Social Security Number (SSN) Info. - An example of PII member's information, is..., Diagnosis (DX) code and/or description. - An example PHI member's information, is..., Level I confidentiality - This confidentiality level Is basic eligibility, benefit and claim status info about a member’s health benefits, Level II confidentiality - In this This confidentiality level info is more sensitive in nature, info like DX and treatment, Sexually Transmitted Disease - An example of sensitive conditions for minor children is..., Make some administrative changes and/or requests, claim status info - Under Level I of confidentiality, the requester can…, Change primary providers, Diagnostic and/or treatment info, including diagnosis and procedure codes - Under Level II of confidentiality, the requester can…,

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