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HIPAA INDEX DEFINATIONS
A4ME-PREVENTIVE
HIGH PROFILE
CALL AVOIDANCE
WHERE ARE THEY
100

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

100

Educate member and offer to schedule AWV/ Physical

Annual Physical and Wellness Visit

100

City of Milwaukee

STANDARD

100

Influencing the routing or receipt of calls including, but not limited to inappropriate transferring of calls back into another queue

AUX Code Manipulation

100

ANA

COLORADO

200

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

200

Educate member and offer to contact PCP to schedule mammogram

Breast Cancer Screening

200

American Airlines

ENHANCED

200

Inappropriately disconnecting or releasing phone calls

DISCONNECTING CALLS

200

REBEKA

TEXAS

300

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

300

Educate member and offer to contact PCP to schedule mammogram

Group Retiree Breast Cancer Screening

300

Sheet Metal Local 10

ENHANCED

300

Using inappropriate language or tone.

LANGUAGE AND TONE
300

RONDA

OHIO

400

An individual in the United States who is under the age of 18.

MINOR

400

Educate member and offer to schedule diabetic eye exam with provider

Diabetic Eye Exam

400

Colorado PERA

DEDICATED
400
  • Putting caller on hold or mute to tend to personal or non-work-related activities
  • Putting caller on hold or mute for an extended amount of time while reaching out to other departments

USING HOLD AND MUTE FUNCTIONS

400

JULIA

MISSISSIPPI 

500

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)

500

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

500

MCHCP

HIGH PROFILE

500
  • Not responding to a caller when connected with the call which results in the caller disconnected the call

RESPONDING TO CALLERS

500

JACOB

TEXAS