HIPAA Compliance: Protecting Member Account Information

HIPAA Compliance

• Protect all member account information to maintain confidentiality.

Disposal of Paper Documents

• Dispose of paper documents securely by using a shredder.

Computer Security

• Always turn off your computer screen when you walk away to prevent unauthorized access.

Handling Member Account Information

• Never give out member information to anyone, under any circumstances.
• Only repeat information that has already been given to you to maintain confidentiality.

Verifying Member Eligibility

• Verify a member's eligibility before scheduling a trip to ensure they are eligible for services.
• Check the member's eligibility on Page 1 of their profile, where it will be displayed at the top.
• If the member is eligible, proceed with scheduling. If not, complete a manual form.

Member Not Found Procedure

• If a member cannot be found, conduct a Deep Dive Search under Special Transportation Situations.
• If the member is still not found, follow the HP's protocols for verifying eligibility.
• Verify the member's physical address, ensuring it matches exactly.

Updating Physical Address

• The only time you can change a member's physical address is if it shows "PO BOX" or "Homeless".

HIPAA Compliance

• Protect all member account information to remain compliant with HIPAA regulations

Disposing of Sensitive Documents

• Dispose of paper documents containing sensitive information by shredding them

Computer Security

• Protect your computer by turning off the screen when you walk away to prevent unauthorized access

Handling Member Account Information

• Never give out member information to maintain confidentiality
• Only repeat information that has already been given to you to avoid breaching member confidentiality

Verifying Member Eligibility

• Verify member eligibility before scheduling a trip to ensure accurate processing
• Check member eligibility on Page 1 of the member's account, displayed at the top
• If member is eligible, proceed with scheduling
• If member is not eligible, complete a manual form to initiate the eligibility verification process

Member Not Found Procedures

• Conduct a Deep Dive Search under Special Transportation Situations if member cannot be located
• Verify the proper process for verifying eligibility per the Health Plan's (HP) protocols
• Verify member's physical address, ensuring it matches exactly
• Change physical address only if it shows "PO BOX" or "Homeless"

Learn how to remain compliant with HIPAA regulations by protecting member account information, disposing of documents securely, and verifying eligibility. Understand the importance of confidentiality and data security.