Frequently Asked Questions
PHI is any information that can identify you as an individual and your past, present or future physical or mental health condition.
In regard to authorizations, if my life or my dependent's life, is in jeopardy, are you saying that, by law, you are not permitted to give information to anyone else?
If not releasing the information would put your health in danger, we are permitted to release it to those who need to know it. In this case, we will not release more information than necessary.
My 19 year old dependent is away at college. Will the privacy laws prohibit me from getting information about his or her claims?
Yes, your dependent must complete a form that will authorize us to release PHI to you.
I handle the insurance for my elderly parent. Will I still be able to call and receive information regarding my parent?
We will need authorization from your parent to release PHI to you.
Are you saying that I can no longer call about my spouse's claims even though I am also on the policy?
Yes. Privacy laws prohibit us from releasing information to anyone, other than the individual or provider (for payment, treatment or healthcare operations) unless there is a signed authorization on file from the individual.
I have Power of Attorney for my parent. Is this still valid?
A Power of Attorney is valid only if it specifies that medical information can be released.
Will you release protected health information with a court order, or if subpoenaed?
We may disclose PHI in response to a court order, subpoena, discovery request, or other lawful process.
If I authorize you to disclose information to someone, can this person also be authorized to speak to my doctor on my behalf?
The enclosed authorization form was created by Excellus BlueCross BlueShield, and will be used only by us. If you want to authorize your provider to speak to someone on your behalf, you will need to contact the provider directly.
When does my authorization expire?
There are different expiration selections you can choose on the authorization form.
My parent is incapacitated and currently unable to authorize me to release information. How do I go about getting authorization to receive information?
We can accept a power of attorney, however, it must specifically include that you have access to his or her medical information.
My dependent is overseas serving in the military, therefore, unavailable to sign the authorization form. Does this mean that I cannot receive information regarding his/her protected health information?
If you have a power of attorney indicating that you have access to your dependent's medical information, we will be able to release your dependent's protected health information to you.