Anthem Blue Cross Blue Shield Health Insurance

HIPAA Information

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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a permanent component of Anthem’s health care strategy.  
 
Anthem is committed to delivering excellent service. Part of that commitment includes compliance with and support of the HIPAA mandates. Most importantly, we are committed to standardization and the minimization of “administrative hassles” for our members, physicians and other health care providers, as well as protecting member and patient privacy.  
 
HIPAA General Information
Additionally, Anthem is committed to informing you, our customers, about HIPAA and Anthem's compliance status. The following general frequently asked questions were developed to provide information regarding HIPAA and Anthem’s compliance status. more  
 
HIPAA Privacy
Anthem met its compliance obligations with respect to the HIPAA Privacy Rule prior to the April 14, 2003, compliance date. The following privacy frequently asked questions were developed to answer questions you may have regarding HIPAA privacy compliance at Anthem. more  
 
HIPAA Transactions and Code Sets
Anthem met its compliance obligations with respect to the HIPAA Transactions and Code Sets Rule prior to the October 16, 2003, mandatory compliance date. Anthem supports all of the transaction formats and associated code sets as mandated by the HIPAA legislation. The following frequently asked questions were developed to provide additional information regarding the HIPAA transactions and codes sets compliance at Anthem. more  
 
Blue Cross Blue Shield Association HIPAA Transactions and Code Sets Toolkit
The Blue Cross Blue Shield Association (BCBSA) is pleased to provide the HIPAA Transactions and Code Sets Toolkit. This toolkit is designed as a resource for hospitals, physicians and other health care professional to help them better understand the new HIPAA transactions and code requirements, as well as to promote compliance. It is important to note that the Transactions and Code Set Toolkit is NOT the BCBS compliance manual. Rather, it is one of many tools that health care professionals and institutions may use to assist them in understanding the responsibilities and tasks necessary to become HIPAA compliant. more  
 
HIPAA Security
Anthem expects to comply with the HIPAA Security Regulations as required. Since the Department of Health and Human Services just recently issued its final Security Regulation, Anthem is integrating the requirements of the regulation with its ongoing implementation of "industry" best practices. Anthem is committed to keeping member records secure. The following security frequently asked questions were developed to provide information regarding HIPAA and Anthem's compliance status. more  
 
HIPAA National Provider Identifier
The HIPAA National Provider Identifier Final Rule (NPI) issued January 23, 2004, offers each physician, health care professional and institution one unique identifier for all transactions related to the rendition of and payment for health care services. Ultimately, the NPI will replace all existing identification numbers including Medicare, Medicaid and all payers’ identification numbers including the Anthem provider identification number. The following frequently asked questions and responses were developed to provide information regarding the NPI and Anthem's compliance status. more  
 
HIPAA Privacy Notice Template
As promised in its Business Associate Agreement with its Administrative Services only (ASO) group health plans, Anthem is pleased to offer a sample ASO Privacy Notice that may be used as a template by our ASO customers. Please read, review, and evaluate the template Notice carefully to make sure it will satisfy your needs. Note that use of this Notice is governed in Section III of the standard Anthem Business Associate Agreement that was recently sent to you. Also please note that the provision of the template is not intended to be legal advice. more  
 
HIPAA Title II Blue Book
This booklet provides an overview of HIPAA Title II, also known as Administrative Simplification. This booklet will help you understand HIPAA Title II and its impact on employers/plan sponsors and their group health plans. It also contains a helpful summary of Privacy Rule requirements. Please note that this booklet is provided as an informational service only and is not intended to replace or serve as legal counsel. To ensure that you and/or your company are taking the necessary steps to comply with HIPAA, you should consult your attorney. more  
 
 
To view Anthem's Notices of Privacy Practices, click here.  
 
 
Anthem’s Corporate Authorization Form
Individual and Psychotherapy Notes Authorization Forms Instructions
Individual Authorization Form
Individual Authorization to Use or Disclosed Psychotherapy Notes Form
 
 
To print a copy of the Frequently Asked Questions (FAQs), please click here.  

The above FAQ link on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE.

 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use