HIPAA Request for Accounting of PHI Disclosures


Summary

This template is used by an employer-sponsored group health plan to allow individuals to ask for information about the plan's disclosures of the individual's protected health information (PHI). Plan participants (and their covered spouses and dependents) have a right to receive this information under the Health Insurance Portability and Accountability Act's (HIPAA's) Privacy Rule. 45 C.F.R. § 164.528. This template is drafted for a group health plan, but can be modified for use by other types of HIPAA covered entities, such as a health service provider. This template contains drafting notes. For a full listing of key content covering HIPAA considerations, see HIPAA Resource Kit. For more information on HIPAA Privacy Rule and Security Rule Compliance, see HIPAA Privacy, Security, Breach Notification, and Other Administrative Simplification Rules. Additional guidance on accounting disclosures may be found in Dep't of Health and Human Services, Right to an Accounting of Disclosures, ...