Maryland Solicitud de Contabilidad de Divulgaciones de Información de Salud Protegida - Request for Accounting of Disclosures of Protected Health Information

• Category: Confidencialidad y no divulgación - Contratos - Información de salud protegida (HIPAA)
• State: Multi-State
• Control #: US-3581
• Format: Word

Description

This form is used by an individual to request an accounting of the persons or entities to whom the individual's protected health information has been disclosed. Permitted exclusions from the accounting are also described. Maryland Request for Accounting of Disclosures of Protected Health Information is a crucial form that allows individuals to obtain information about the disclosure of their sensitive health data by healthcare providers or organizations. This request ensures transparency and compliance with privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA). To initiate a Maryland Request for Accounting of Disclosures of Protected Health Information, individuals must complete a specific form provided by the Maryland Department of Health or the respective healthcare facility. Keywords that are relevant to this form include: 1. Maryland: The form is specific to the state of Maryland, indicating that it adheres to the state's laws and regulations surrounding protected health information. 2. Request: This form functions as an official request made by an individual to obtain a detailed account of the disclosures that have been made regarding their protected health information. 3. Accounting of Disclosures: This term refers to the comprehensive record or report that documents the instances where an individual's health information has been shared or disclosed by healthcare providers or organizations. 4. Protected Health Information (PHI): This encompasses any personally identifiable information pertaining to an individual's health condition, treatment history, medical records, or any related data that may be considered sensitive. 5. Health Insurance Portability and Accountability Act (HIPAA): HIPAA is a federal law that sets standards for the protection of individuals' health information. The Maryland Request for Accounting of Disclosures of Protected Health Information complies with HIPAA regulations. Different types or variations of the Maryland Request for Accounting of Disclosures of Protected Health Information may include specific sections that address: 1. Timeframe: This section may require the individual to specify the desired timeframe for which they want to request an accounting of disclosures. For example, they may choose to review disclosures made within the last 6 months or a specific period. 2. Purpose of Disclosure: Individuals may have the option to indicate if they want the accounting to include disclosures made for treatment purposes, payment transactions, healthcare operations, or any other specific categories. 3. Method of Delivery: Depending on the healthcare facility or organization, individuals may have various options for receiving the requested accounting. This can include mail, email, secure online portals, or other suitable methods. 4. Verification and Authorization: The form may require the individual to provide their identification details, such as name, address, date of birth, and/or a signature, to ensure proper verification of the request. It is important to note that the specific structure and details of the Maryland Request for Accounting of Disclosures of Protected Health Information may vary depending on the provider or organization. Therefore, it is recommended to consult the relevant healthcare facility or the Maryland Department of Health for the accurate form and any specific requirements.

Maryland Request for Accounting of Disclosures of Protected Health Information is a crucial form that allows individuals to obtain information about the disclosure of their sensitive health data by healthcare providers or organizations. This request ensures transparency and compliance with privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA). To initiate a Maryland Request for Accounting of Disclosures of Protected Health Information, individuals must complete a specific form provided by the Maryland Department of Health or the respective healthcare facility. Keywords that are relevant to this form include: 1. Maryland: The form is specific to the state of Maryland, indicating that it adheres to the state's laws and regulations surrounding protected health information. 2. Request: This form functions as an official request made by an individual to obtain a detailed account of the disclosures that have been made regarding their protected health information. 3. Accounting of Disclosures: This term refers to the comprehensive record or report that documents the instances where an individual's health information has been shared or disclosed by healthcare providers or organizations. 4. Protected Health Information (PHI): This encompasses any personally identifiable information pertaining to an individual's health condition, treatment history, medical records, or any related data that may be considered sensitive. 5. Health Insurance Portability and Accountability Act (HIPAA): HIPAA is a federal law that sets standards for the protection of individuals' health information. The Maryland Request for Accounting of Disclosures of Protected Health Information complies with HIPAA regulations. Different types or variations of the Maryland Request for Accounting of Disclosures of Protected Health Information may include specific sections that address: 1. Timeframe: This section may require the individual to specify the desired timeframe for which they want to request an accounting of disclosures. For example, they may choose to review disclosures made within the last 6 months or a specific period. 2. Purpose of Disclosure: Individuals may have the option to indicate if they want the accounting to include disclosures made for treatment purposes, payment transactions, healthcare operations, or any other specific categories. 3. Method of Delivery: Depending on the healthcare facility or organization, individuals may have various options for receiving the requested accounting. This can include mail, email, secure online portals, or other suitable methods. 4. Verification and Authorization: The form may require the individual to provide their identification details, such as name, address, date of birth, and/or a signature, to ensure proper verification of the request. It is important to note that the specific structure and details of the Maryland Request for Accounting of Disclosures of Protected Health Information may vary depending on the provider or organization. Therefore, it is recommended to consult the relevant healthcare facility or the Maryland Department of Health for the accurate form and any specific requirements.

Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.