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Eligibility status

Benefit maximums

Participating providers

Deductibles & exclusions

Co-pay amounts

The types of financial information to be disclosed.

The specific individuals or entities to which disclosure would be made.

The types of persons who would receive PHI.

The conditions that would not apply to disclosure of PHI

The criteria for reviewing requests for routine disclosure of PHI.

Covered entities must reasonably safeguard PHI, including oral communications, from any intentional or unintentional use or disclosure that is in violation of the Privacy Rule.

Covered entities must have in place appropriate administrative, technical, and physical safeguards to protect the privacy of de-Identified data.

Covered entities are prohibited from marketing through oral communications

The Privacy Rule requires covered entities to document any information, including oral communications, which is used or disclosed for TPO purposes.

The Privacy Rule will often require major structural changes, such as soundproof rooms and encryption of telephone systems, to provide the "reasonable safeguards" of oral communications required by the regulations

Person or Entity Authentication

Technical Safeguards

Administrative Safeguards

Physical Safeguards

Transmission Security