HIPAA violation?
Question:
Hi, all. My insurance company just reported me to LifeMasters as a person who has "been diagnosed with congestive heart failure, coronary artery disease, asthma, or diabetes." I feel that this is a violation of HIPAA, and I’m steamed. This insurance company hasn’t paid for the anesthesia for my husband’s surgery when he had his knee repaired in January, and they won’t talk to me about it because of HIPAA. Then they go and turn me in to another company, because they know anyone who is getting frequent HbA1C’s must be diabetic. It’s no misunderstanding. The envelope was from LifeMasters in California, but the letterhead was Capital BlueCross. I am reporting them to the Pennsylvania Insurance Commissioner. Maggie N. :( T2 since 8/31/02
Response:
Who or what is LifeMasters and what are they trying to tell you/get you to do/sell you/etc.? bj
– Hide quoted text — Show quoted text -> Hi, all. > My insurance company just reported me to LifeMasters as a person who has > "been diagnosed with congestive heart failure, coronary artery disease, > asthma, or diabetes." I feel that this is a violation of HIPAA, and I’m > steamed. > This insurance company hasn’t paid for the anesthesia for my husband’s > surgery when he had his knee repaired in January, and they won’t talk to > me about it because of HIPAA. Then they go and turn me in to another > company, because they know anyone who is getting frequent HbA1C’s must > be diabetic. > It’s no misunderstanding. The envelope was from LifeMasters in > California, but the letterhead was Capital BlueCross. I am reporting > them to the Pennsylvania Insurance Commissioner. > Maggie N. :( > T2 since 8/31/02
Response:
> Who or what is LifeMasters and what are they trying to tell you/get you to > do/sell you/etc.? > bj
I believe my health insurance co sent me the mail rather than LifeMasters. I did not believe that I needed their services. Their website link follows. http://www.lifemasters.com/ Frank
Response:
Yes you MAY have a HIPAA violation, your insurance company may share information with them only if you agreed, did you read the HIPAA disclosure you signed, are they mentioned? are referrals to outside affiliates mentioned is LifeMasters affiliated? there are many questions here, by all means file your complaint where you live and where they are based but don’t be shocked if it is another law that no-one wants to enforce unless there is something in it for them.
– Hide quoted text — Show quoted text -> Hi, all. > My insurance company just reported me to LifeMasters as a person who has > "been diagnosed with congestive heart failure, coronary artery disease, > asthma, or diabetes." I feel that this is a violation of HIPAA, and I’m > steamed. > This insurance company hasn’t paid for the anesthesia for my husband’s > surgery when he had his knee repaired in January, and they won’t talk to > me about it because of HIPAA. Then they go and turn me in to another > company, because they know anyone who is getting frequent HbA1C’s must > be diabetic. > It’s no misunderstanding. The envelope was from LifeMasters in > California, but the letterhead was Capital BlueCross. I am reporting > them to the Pennsylvania Insurance Commissioner. > Maggie N. :( > T2 since 8/31/02
Response:
>Who or what is LifeMasters and what are they trying to tell you/get you to >do/sell you/etc.?
Lifemasters is contracted by different insurance companies to "assist" diabetics with the intention of improving their health, thereby reducing the insurance companies’ payouts. When I turned down their "help", they continued to hound my husband by mail (and wanted our phone number so they could talk directly to him) and insisted that he personally refuse their assistance before they would back off. Needless to say, they never got through to him. I don’t think there will be a case for a HIPPA violation here because they are an agent of the insurance company to which you have contracted. Sounds to me as if you need to work with the insurance company and your creditors to resolve your claims rather than concentrate on a supposed violation. You’ll definitely stand a better chance of resolving the claims this way. Bev Remove the "SpamFree" for email, please. Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org — /join #Diabetic-Talk More info: http://www.diabetic-talk.org/
Response:
writes: What’s HIPAA ? and whats LifeMasters?
Response:
> writes: > What’s HIPAA ? and whats LifeMasters?
I believe HIPAA stands for Health Insurance Portability and Accountability Act
Response:
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