HIPAA
One type of HIPAA verifier.
What is: policy number, DoB, SSN, MBI/HIC/, claim number,
The three items we must very annually.
What are the address, email and phone number?
Pool that handles claims calls.
What is customer solutions?
Number of required verifiers.
What is two?
If they contact us from this we do not need to ask if it is current.
What is the phone number on file?
Required verifier for a provider?
What is a tax ID?
Potential penalties for noncompliance.
What is $100-1.5 million and jail time up to 10 years?
What we need if the PO also has a PO box.
What is a residential address?
Something we need before we can speak with a relative or producer regarding claims.
What is verbal authorization?
Definition of the acronym HIPAA
What is Health Insurance Portability and Accountability Act
The people who can access Customer Access without verbal authorization.
Who is the policyowner?
What is the authorization form?
The year HIPAA became effective.
What is 1996?
We can discuss this with any authorized caller.
What is deductible status?
The 3 P's that can make changes
Policyowner, Producer and valid POA
The people we can answer yes/no questions regarding claims to.
Who are producers and family members/relatives/personal representatives?