HIPAA Compliance Statement
Blue Cross Blue Shield of Michigan and Blue Care Network have implemented the Administrative Simplification requirements of the Health Insurance Portability and Accountability Act of 1996 as described below:
- The Electronic Transactions and Code Set Standards were implemented by the October 16, 2003 extended compliance date.
- The requirements of the HIPAA Privacy rule were implemented by the April 14, 2003 compliance date.
- BCBSM and BCN successfully undertook a major and complex effort to meet HIPAA security rule requirements by April 20, 2005.
- Consistent with guidance provided by the Centers for Medicare and Medicaid Services (CMS) and the Office of HIPAA Standards, BCBSM and BCN are currently operating under a contingency plan for NPI compliance.
Changes to the Health Insurance Portability and Accountability Act of 1996 have been included in the Economic Stimulus Bill signed on February 17, 2009. Blue Cross Blue Shield of Michigan is aware of the new requirements and efforts are underway to implement the new HIPAA requirements as mandated.
For more information regarding our privacy practices, visit Notice of Privacy Practices.
Authorized and Personal Representatives
Members may also allow BCBSM to disclose Protected Health Information (PHI) to two sets of representatives: Authorized Representatives and Personal Representatives.
Authorized Representatives are assigned to help communicate with the member's health care company.
Authorized Representatives may:
Receive information as described on the Authorization form
Not make decisions on behalf of the member
Not make decisions related to the member's health care and treatment
They can only be submitted on the Authorization for Disclosure of Protected Health Information form (PDF).
Personal Representatives can be:
- Submitted via various documents (see below) based on the type of representative
- A person who can get information and make changes to the contract to the degree specified
The following types of legal documentation are acceptable as proof of a Personal Representative appointment.
|Durable Power of Attorney||A written document in which one person (the member) appoints another person to act as an agent on his or her behalf.|
|Patient Advocate||A written document that appoints a person or entity to help a patient work with others who have an effect on the patient’s health, including doctors, insurance companies, employers, case managers, and lawyers.|
|Executor of a Deceased Individual's Will||A court order indicating that per an individual’s will he/she chose an executor (or executrix) to administer that will after his/her death. The executor should be named in the will itself.|
|Trustee of Deceased Individual||A document that designated a trustee to administer the trust and manage the trust property for the benefit of any beneficiaries.|
|Guardian||A person who has been appointed by a judge to take care of a minor child and/or manage that person’s affairs.|
|Conservator||A conservator is a person or entity appointed by a court to manage the property, daily affairs, and financial affairs of another person.|