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New Hampshire Request for Accounting of Disclosures of Protected Health Information

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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.
New Hampshire Request for Accounting of Disclosures of Protected Health Information is a formal legal document that individuals in New Hampshire can use to obtain information about the disclosure of their protected health information (PHI). This request is made under the Health Insurance Portability and Accountability Act (HIPAA), which grants individuals the right to know who has accessed or shared their personal health information. The New Hampshire Request for Accounting of Disclosures of Protected Health Information allows individuals to gain insight into the organizations, entities, or individuals that have accessed, used, or disclosed their PHI without their consent. It provides a means for individuals to keep track of how their health information is being handled and allows them to identify any potential violations of their privacy rights. By submitting this request, individuals can obtain a detailed account of the disclosures made by covered entities such as healthcare providers, health insurance companies, or any organization or individual that handles PHI. The accounting of disclosures will include information about the date, time, and nature of the disclosed information, as well as the identity of the recipient and the purpose for the disclosure. There are two primary types of New Hampshire Request for Accounting of Disclosures of Protected Health Information: 1. Standard Request: This is the most common form of request, typically used by individuals to obtain a comprehensive account of their PHI disclosures within a specific timeframe. This could include disclosures made for treatment purposes, billing and payment activities, healthcare operations, or any other purposes permitted under HIPAA. 2. Confidential Request: This type of request allows individuals to obtain an accounting of disclosures related to sensitive information, such as mental health records, substance abuse treatment, or HIV/AIDS-related information. It ensures that the individual's personal and sensitive information is handled with extra care and provides an additional layer of confidentiality and security. Submitting a New Hampshire Request for Accounting of Disclosures of Protected Health Information is an essential step in asserting one's rights over their personal health information. This document empowers individuals to keep track of who has access to their PHI and promote transparency and accountability in the healthcare system. It serves as a mechanism to safeguard privacy and reinforces patient control over their health information.

New Hampshire Request for Accounting of Disclosures of Protected Health Information is a formal legal document that individuals in New Hampshire can use to obtain information about the disclosure of their protected health information (PHI). This request is made under the Health Insurance Portability and Accountability Act (HIPAA), which grants individuals the right to know who has accessed or shared their personal health information. The New Hampshire Request for Accounting of Disclosures of Protected Health Information allows individuals to gain insight into the organizations, entities, or individuals that have accessed, used, or disclosed their PHI without their consent. It provides a means for individuals to keep track of how their health information is being handled and allows them to identify any potential violations of their privacy rights. By submitting this request, individuals can obtain a detailed account of the disclosures made by covered entities such as healthcare providers, health insurance companies, or any organization or individual that handles PHI. The accounting of disclosures will include information about the date, time, and nature of the disclosed information, as well as the identity of the recipient and the purpose for the disclosure. There are two primary types of New Hampshire Request for Accounting of Disclosures of Protected Health Information: 1. Standard Request: This is the most common form of request, typically used by individuals to obtain a comprehensive account of their PHI disclosures within a specific timeframe. This could include disclosures made for treatment purposes, billing and payment activities, healthcare operations, or any other purposes permitted under HIPAA. 2. Confidential Request: This type of request allows individuals to obtain an accounting of disclosures related to sensitive information, such as mental health records, substance abuse treatment, or HIV/AIDS-related information. It ensures that the individual's personal and sensitive information is handled with extra care and provides an additional layer of confidentiality and security. Submitting a New Hampshire Request for Accounting of Disclosures of Protected Health Information is an essential step in asserting one's rights over their personal health information. This document empowers individuals to keep track of who has access to their PHI and promote transparency and accountability in the healthcare system. It serves as a mechanism to safeguard privacy and reinforces patient control over their health information.

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FAQ

Patients (or their Personal Representatives see Yale Policy 5038 - Personal Representatives) may request an accounting of disclosures by submitting a request in writing using the Request for Accounting of Disclosures of Protected Health Information form, or other sufficient written documentation requesting the

The Privacy Rule permits, but does not require, a covered entity voluntarily to obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations.

Under the HIPAA Privacy Rule, an individual, under certain circumstances, has the right to receive an accounting of disclosures HIPAA Accounting of that individual's protected health information (PHI) made by a covered entity in the last six years prior to the date on which the account is requested.

For each disclosure, the accounting must include: (1) The date of the disclosure; (2) the name (and address, if known) of the entity or person who received the protected health information; (3) a brief description of the information disclosed; and (4) a brief statement of the purpose of the disclosure (or a copy of the

A covered entity must disclose protected health information in only two situations: (a) to individuals (or their personal representatives) specifically when they request access to, or an accounting of disclosures of, their protected health information; and (b) to HHS when it is undertaking a compliance investigation or

A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.

An accounting of disclosures form may be necessary if you disclose patient records for the purposes of selling them, for scientific research if the data has not been de-identified, if they consented to having their info included in a client marketing story, or if their information has been disclosed for other marketing

Other instances necessitating Accounting of Disclosures (AOD) include: Those Required by Law (Court Orders, subpoenas, state reporting, emergencies) Public Health Activities (Prevention of disease, public health investigations) Victims of abuse, neglect, or domestic violence.

When releases occur that are pursuant to Accounting of Disclosures, the log must include certain elements like: the date of the disclosure; the name and address of the organization / person who received the PHI; a brief description of the PHI disclosed; and.

More info

Bedford, NH 03110Uses and Disclosures of Protected Health Informationmay be disclosed to a referring physician who would require this information ...2 pages Bedford, NH 03110Uses and Disclosures of Protected Health Informationmay be disclosed to a referring physician who would require this information ... Southern New Hampshire Health System and our affiliated providers are responsible for ensuring the privacy of your protected health information.12 pages Southern New Hampshire Health System and our affiliated providers are responsible for ensuring the privacy of your protected health information.Other uses and disclosures of your protected health informationmust make your request in writing to 17 Riverside Street, Suite 105, Nashua, NH 03062. Covered entities under a New Hampshire corporation called. SolutionHealth.have regarding the use and disclosure of your protected health information.16 pages covered entities under a New Hampshire corporation called. SolutionHealth.have regarding the use and disclosure of your protected health information. See pages 5, 6, and 7 for more information on these uses and disclosures.You can ask for a list (accounting) of the times we've shared your health.10 pages See pages 5, 6, and 7 for more information on these uses and disclosures.You can ask for a list (accounting) of the times we've shared your health. We may use and disclose your Protected Health Information in theThe first accounting of disclosures you request within any 12month period will be free. Ask for a list of disclosures of your medical record made after AprilSpecial protection may include records aboutNew Hampshire Health Information. Your protected health information is contained in the medical and billing recordsYou may request an accounting of disclosures made up to six (6) years ... Health care services. II. Your Health Information Rights. While the actual records that API maintains about you belong to it, under New Hampshire law the ... THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED ANDby law to maintain the privacy of your protected health information (PHI), ...

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New Hampshire Request for Accounting of Disclosures of Protected Health Information