Health Insurance Portability and Accountability Act (HIPAA)
This Web site provides information and guidance on HIPAA related policies and procedures.
HIPAA was originally designed to improve the portability of health insurance coverage. Recent legislation (2002-2003) standardizes health care transactions to impose privacy and security requirements. Belmont University's Employee Welfare Benefit Plan as well as the Student Health Clinic are covered by the new HIPAA rules and regulations. Belmont University is covered by HIPAA primarily because of the Employee Welfare Benefit Plan with respect to individually identifiable health information or Protected Health Information (PHI).
HIPAA privacy covers medical, dental, vision, and prescription drug benefits, health care Flexible Spending Account and Employee Assistance Program. It does not cover Workers' Compensation laws or Family Medical Leave Act..
The Welfare Benefit Plan is administered by the Office of Human Resources. HR has certain responsibilities:
- make sure medical information that identifies an employee is kept private
- give each employee a notice of Belmont's legal duties and privacy practices with respect to medical information.
Belmont University may use and disclose PHI for:
Treatment - to a health care provider rendering treatment on behalf of an employee. For example, advising an emergency room doctor about an unconscious employee's prescription drug history is allowed.
Payment - assisting with claims so healthcare treatment and services can be paid according to the terms of the Plan. For example, assisting with claims issues and communications between a provider and an insurance carrier is allowed.
Operations - for administrative purposes such as eligibility determination, enrolling and removal from the Plan, coordination of benefits, other customer service activities, and in compliance with a request from an authorized governmental agency or law enforcement group.