Your Privacy Is As Important to Us As It Is to You
Independence Administrators is committed to protecting the privacy of plan members’ personal health information. Part of that commitment is complying with the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which sets standards to protect personal health information and allow an individual access to his or her personal health information.
Independence Administrators has completed activities required for compliance with the Privacy Rule and has implemented policies and procedures necessary to protect the privacy of our customers’ personal health information.
HIPAA also requires that all payers must be able to perform transactions electronically if requested by providers, groups, or insurance companies; and that transactions must use a standard “HIPAA-compliant” format with regard to file formats, codes, identification numbers, etc. Examples of transactions that fall under these regulations include enrollment records, eligibility information, premium payments, claim submissions, and claim status. Independence Administrators accepts HIPAA-compliant electronic transactions
The HIPAA regulations also include a Security Rule. The Security Rule, which was effective April 21, 2005, sets standards to ensure the privacy of electronic Protected Health Information. Independence Administrators has in place administrative, physical, and technical safeguards required by the Security Rule and the security aspects of the HIPAA Privacy Rule.
HIPAA Privacy Practices and Forms
Independence Administrators is committed to protecting the privacy of plan members’ personal health information. As a Business Associate, part of that commitment is complying with the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which requires us to take additional measures to protect personal information and to inform our customers about those measures.
For your convenience, download and print any of the following HIPAA forms as needed:
- Authorization to Release Information
- Request for Copies of PHI
- Request for Confidential Communication of PHI
- Request for Limitations and Restrictions of PHI
- Amendment Request
- Revocation of Access
- Request for Accounting of Disclosures of PHI
- Personal Representative Request
Mail or fax the completed and signed forms to:
Attn: Privacy Office
1900 Market Street
Philadelphia, PA 19103
HIPAA Notice of Privacy Practices
The student health benefits program’s1 notice of privacy practices describes how medical information about you may be used and disclosed, and how you can get access to this information.
1 Benefits are underwritten by QCC Insurance Company. Administrative services performed by Independence Administrators.
HIPAA Transactions for Providers
For information about HIPAA-compliant transactions, visit the Electronic Data Interchange (EDI) Services section.