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Which of the following is an acceptable use or disclosure of Protected Health Information (PHI) under the
Health Insurance Portability and Accountability Act of 1996 (HIPAA)?
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Venshu works for a health plan. A member's sister calls to question the services listed on an
Explanation of Benefits (EOB) that her sister received. Venshu
confirms that the sister is
listed on the
member's account as an authorized representative, so Venshu
provides the requested information.
Kerryanne does case management for a behavioral health unit with access to electronic PHI for her
role. She checks her sister-in-law's records on her lunch break because
she is curious about whether
her sister-in-law is seeing the provider she recommended.
4
Tori is a claims processor and searches for claims submitted for her coworkers.