HIPAA compliance

AmeriHealth 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.

AmeriHealth 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.

Administrative simplification

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. AmeriHealth Administrators accepts HIPAA-compliant electronic transactions.

Security

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. AmeriHealth 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

AmeriHealth 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:
AmeriHealth Administrators
Attn: Privacy Office
1900 Market Street
Suite 500
Philadelphia, PA 19103
Fax: 215-238-7993
Phone: 1-215-830-2579