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Confidentiality

Asuris is committed to the highest level of confidentiality with our members’ personal and medical information, and actively enforces the Health Insurance Portability and Accountability Act (HIPAA) regulations. Our employees are held to high standards in accessing and maintaining confidential information as outlined in our corporate and departmental policies and procedures.

You are permitted to disclose protected health information to Asuris for treatment, payment, and health care operations as long as you and Asuris have or have had a relationship with the member. Generally, an authorization from the member is not required for disclosures made for these purposes. Disclosures of protected health information must be limited to the minimum amount necessary, except for treatment purposes.

There may be times when medical data is measured to determine if additional services or benefit changes should be considered. Such information is reviewed within the guidelines of our corporate confidentiality policy and is not shared in a patient-identifiable format without our members’ consent.

Confidentiality Requirements
As a Asuris participating provider, it is your responsibility to abide by all applicable provisions of the law concerning the confidentiality of patient information and records. Asuris members are informed of our commitment to protect the confidentiality of their information and records. The following is Asuris’s policy regarding patient confidentiality.

Access to Records
Members have the right to obtain and inspect a copy of their personal information for as long as we or our business associates maintain it. Requests should be sent to the address on the member card.

Use of Measurement Data
Asuris collects and analyzes claim information to perform utilization management, case management and other clinical activities. The data is used to identify areas of improvement for the care and service members receive.