New Claims System Update

Provider Manual
heartbeat_stet

13 COMPLIANCE AND ETHICS

13.7 Misrouted Protected Health Information (PHI)

Providers and facilities are required to review all member information received from IntegraNet to ensure no misrouted PHI is included. Misrouted PHI includes information about members whom a provider or facility is not currently treating. PHI can be misrouted to providers and facilities by mail, fax, or email. Providers and facilities are required to immediately destroy any misrouted PHI or safeguard the PHI for as long as it is retained. In no event are providers or facilities permitted to misuse or redisclose misrouted PHI. If providers or facilities cannot destroy or safeguard misrouted PHI, providers and facilities must contact Provider Relations to report the receipt of misrouted PHI.