HIPAA Notice of Privacy Practices

Blue Shield of California · Official agreement

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6 of 54 cards in Account & Service Control

Account & Service Control · Procedure

Some rights requests require a form, available by phone or on the website

Blue Shield says this section explains your rights over your health information and some of its responsibilities. For certain types of requests you must complete a form, which is available by calling the Customer Service number on the back of your ID card or by visiting the privacy forms page of its website.

Supporting quotations

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. For certain types of requests, you must complete a form that is available either by calling the Customer Service number on the back of your ID card or by visiting our website at https://www.blueshieldca.com/en/home/about-blue-shield/privacy-and-security/privacy-forms.

Qualifications & exceptions

  • Only "certain types of requests" require a form.

Not stated here

  • This passage does not say which requests need a form.

Account & Service Control · User right or choice

You can ask for a copy of your health and claims records; usually within 30 days, possibly for a fee

You can ask to see or get a copy of the health and claims records and other health information Blue Shield has about you. Blue Shield says it will provide a copy of your health and claims records usually within 30 days of your request. It may charge a reasonable, cost-based fee for preparing, copying, and/or mailing it. In certain limited circumstances permitted by law, it may deny you access to a portion of your records.

Supporting quotations

Get a copy of your health and claims records
You can ask to see or get a copy of your health and claims records and other health information we have about you. Ask us how to do this.
We will provide a copy of your health and claims records, usually within 30 days of your request. We may charge a reasonable, cost-based fee for preparing, copying, and/or mailing it to you. In certain limited circumstances permitted by law, we may deny you access to a portion of your records.

Qualifications & exceptions

  • The copy is provided "usually" within 30 days of the request.
  • A reasonable, cost-based fee may be charged for preparing, copying, and/or mailing.
  • Access to a portion of the records may be denied in certain limited circumstances permitted by law.

Not stated here

  • The limited circumstances in which access may be denied are not listed.

Account & Service Control · Restriction or exception

Blue Shield likely lacks your complete medical records; for those it does not hold, contact your doctor or clinic

In both the copy right and the correction right, Blue Shield says it likely does not have complete copies of your medical records. If you want to look at, get a copy of, or change records it does not maintain, it says to contact your doctor or clinic.

Supporting quotations

We likely do not have complete copies of your medical records. If you want to look at, or get a copy of, records we do not maintain, please contact your doctor or clinic.
We likely do not have complete copies of your medical records. If you want to change records we do not maintain, please contact your doctor or clinic.

Qualifications & exceptions

  • The statement is about records Blue Shield does not maintain.

Cross-references

Account & Service Control · User right or choice

You can ask Blue Shield to correct your records; it may say no in limited cases, with written reasons within 60 days

You can ask Blue Shield to correct your health and claims records if you think they are incorrect or incomplete. Blue Shield may say "no" to the request in certain limited circumstances permitted by law, but says it will tell you why in writing within 60 days.

Supporting quotations

Ask us to correct health and claims records
You can ask us to correct your health and claims records if you think they are incorrect or incomplete.
We may say “no” to your request in certain limited circumstances permitted by law, but we’ll tell you why in writing within 60 days.

Qualifications & exceptions

  • A refusal is allowed only in certain limited circumstances permitted by law.

Not stated here

  • The circumstances in which Blue Shield may refuse are not listed.
  • The sentence does not say what the 60 days is counted from.

Account & Service Control · User right or choice

You can ask to be contacted in a specific way or at another address; the request must be in writing

You can ask Blue Shield to contact you about your confidential health information in a specific way, for example home or office phone, or to send mail to a different address. The request must be in writing. Blue Shield says it will accommodate all requests for confidential communication in the form and format you request if it is readily producible in that form and format, or at alternative locations. If the request involves a minor child, it may ask you for legal documentation to support the request.

Supporting quotations

Request confidential communications
You can ask us to contact you regarding your confidential health information in a specific way (for example, home or office phone) or to send mail to a different address.
Your request must be in writing, and we will accommodate all requests for confidential communication in the form and format requested by you, if it is readily producible in the requested form and format, or at alternative locations. If your request involves a minor child, we may ask you to provide legal documentation to support your request.

Qualifications & exceptions

  • The request must be in writing.
  • Blue Shield commits to accommodate requests in the requested form and format if it is readily producible in that form and format, or at alternative locations.
  • If the request involves a minor child, Blue Shield may ask for legal documentation.

Not stated here

  • The notice does not define when a form or format is "readily producible".

Account & Service Control · User right or choice

You may name a personal representative; Blue Shield will check the person has authority before acting

You may name another person to act as your personal representative. Blue Shield says your representative will be allowed access to your PHI, to communicate with the healthcare professionals and facilities providing your care, and to exercise all other HIPAA rights on your behalf. Depending on the authority you grant, the representative may also have authority to make healthcare decisions for you. Blue Shield says it will make sure the person has this authority and can act for you before it takes any action.

Supporting quotations

Choose someone to act for you
You may name another person to act as your personal representative. Your representative will be allowed access to your PHI, to communicate with the healthcare professionals and facilities providing your care, and to exercise all other HIPAA rights on your behalf. Depending on the authority you grant your representative, he or she may also have authority to make healthcare decisions for you.
We will make sure the person has this authority and can act for you before we take any action.

Qualifications & exceptions

  • Authority to make healthcare decisions depends on the authority you grant the representative.

Not stated here

  • The notice does not describe how you name a representative or what proof of authority Blue Shield accepts.