HIPAA INDEX DEFINATIONS
The process of determining whether someone is, in fact, who they declare themselves to be and they are authorized to access member information. Authentication must include checking certain information provided by the caller against internal reference sources such as GPS, claim proofs, and Care One.
COMPLETE ADDRESS
Educate member and offer to schedule AWV/ Physical
Annual Physical and Wellness Visit
City of Milwaukee
STANDARD
Influencing the routing or receipt of calls including, but not limited to inappropriate transferring of calls back into another queue
AUX Code Manipulation
ANA
COLORADO
The process of determining whether someone is, in fact, who they declare themselves to be and they are authorized to access member information. Authentication must include checking certain information provided by the caller against internal reference sources such as GPS, claim proofs, and Care One.
AUTHENTICATION
Educate member and offer to contact PCP to schedule mammogram
Breast Cancer Screening
American Airlines
ENHANCED
Inappropriately disconnecting or releasing phone calls
DISCONNECTING CALLS
REBEKA
TEXAS
The provision, coordination or management of a member's mental, behavioral or emotional health care and related services by one or more health care providers to include evaluation, inpatient treatment, outpatient counseling and medication.
MENTAL HEALTH TREATMENT
Educate member and offer to contact PCP to schedule mammogram
Group Retiree Breast Cancer Screening
Sheet Metal Local 10
ENHANCED
Using inappropriate language or tone.
RONDA
OHIO
An individual in the United States who is under the age of 18.
MINOR
Educate member and offer to schedule diabetic eye exam with provider
Diabetic Eye Exam
Colorado PERA
USING HOLD AND MUTE FUNCTIONS
JULIA
MISSISSIPPI
Any information, including demographic information collected from an individual, whether oral or written, maintained or transmitted in any other form or mediums, that is created or received by a Covered Entity.
PROTECTED HEALTH INFORMATION (PHI)
Through this program, health care practitioners make in-home clinical visits with members to evaluate their health conditions. These visits are meant to support the care the member receives from their primary care provider
HouseCalls
MCHCP
HIGH PROFILE
RESPONDING TO CALLERS
JACOB
TEXAS