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

State:
Multi-State
Control #:
US-3581
Format:
Word
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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. The Oregon Request for Accounting of Disclosures of Protected Health Information is a legal process that allows individuals to inquire about the release of their personal health information to third parties. This request is made under the Health Insurance Portability and Accountability Act (HIPAA) and the Oregon Health Insurance Portability and Accountability Act (OH IPA). When individuals request an accounting of disclosures, they are seeking a detailed report that lists all the disclosures made and who received their protected health information (PHI). This information is crucial for understanding how, where, and to whom their health data has been shared. There are two main types of Oregon Request for Accounting of Disclosures of Protected Health Information: 1. Standard Request: This type refers to the disclosure of an individual's PHI for purposes such as treatment, payment, and healthcare operations. It includes any routine disclosures made to healthcare providers involved in the patient's care, payment processing entities, or organizations responsible for quality improvement and utilization review. 2. Non-Standard Request: This type entails disclosures of PHI that do not fall under the standard uses mentioned above. Examples include disclosures made for research purposes, public health activities, legal proceedings, or those made with the patient's authorization. To initiate a request, individuals must provide specific details such as their name, date of birth, contact information, and a signed authorization statement. They also need to specify the timeframe for the accounting period they wish to cover, which usually ranges from six years prior to the request date. Once the request is submitted, healthcare providers, health plans, or other covered entities are required by law to provide an accounting of disclosures within a reasonable time, typically within 60 days. The accounting report should include information about the date of disclosure, the recipient's name and address, a brief description of the information released, and the purpose for which it was disclosed, if known. The Oregon Request for Accounting of Disclosures of Protected Health Information aims to foster transparency and empowers individuals to monitor the use and disclosure of their health data. By having access to such information, individuals can better understand how their PHI is shared and exercise their rights to privacy and confidentiality.

The Oregon Request for Accounting of Disclosures of Protected Health Information is a legal process that allows individuals to inquire about the release of their personal health information to third parties. This request is made under the Health Insurance Portability and Accountability Act (HIPAA) and the Oregon Health Insurance Portability and Accountability Act (OH IPA). When individuals request an accounting of disclosures, they are seeking a detailed report that lists all the disclosures made and who received their protected health information (PHI). This information is crucial for understanding how, where, and to whom their health data has been shared. There are two main types of Oregon Request for Accounting of Disclosures of Protected Health Information: 1. Standard Request: This type refers to the disclosure of an individual's PHI for purposes such as treatment, payment, and healthcare operations. It includes any routine disclosures made to healthcare providers involved in the patient's care, payment processing entities, or organizations responsible for quality improvement and utilization review. 2. Non-Standard Request: This type entails disclosures of PHI that do not fall under the standard uses mentioned above. Examples include disclosures made for research purposes, public health activities, legal proceedings, or those made with the patient's authorization. To initiate a request, individuals must provide specific details such as their name, date of birth, contact information, and a signed authorization statement. They also need to specify the timeframe for the accounting period they wish to cover, which usually ranges from six years prior to the request date. Once the request is submitted, healthcare providers, health plans, or other covered entities are required by law to provide an accounting of disclosures within a reasonable time, typically within 60 days. The accounting report should include information about the date of disclosure, the recipient's name and address, a brief description of the information released, and the purpose for which it was disclosed, if known. The Oregon Request for Accounting of Disclosures of Protected Health Information aims to foster transparency and empowers individuals to monitor the use and disclosure of their health data. By having access to such information, individuals can better understand how their PHI is shared and exercise their rights to privacy and confidentiality.

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.
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Oregon Solicitud de Contabilidad de Divulgaciones de Información de Salud Protegida