HIPAA privacy

AmeriHealth is committed to protecting the privacy of our members' personal health information. Part of that commitment is complying with the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which requires us to take additional measures to protect personal information and to inform our members about those measures. The Notice of Privacy Practices describes how AmeriHealth may use and disclose a member's personal health information and how a member of an AmeriHealth health plan can get access to this information. The Notice of Privacy Practices was recently updated to reflect the manner in which your health information is shared via secure electronic data sharing networks called Health Information Exchanges. You can also call to request a copy of the Notice of Privacy Practices by contacting Customer Service at the number on the back of your ID card.

Notice of Privacy Practices

Describes how AmeriHealth may use and disclose a member’s personal health information and how a member of an AmeriHealth health plan can get access to this information.

• Notice of Privacy Practices — for AmeriHealth health plan members (including: AmeriHealth HMO, AmeriHealth PPO, Open Access, and Traditional)
• Notice of Privacy Practices — for AmeriHealth Medicare health plan members

HIPAA privacy forms

• Authorization Form — to be used by members to authorize AmeriHealth to release health information.
• Personal Representative Form — to be used by members who wish to appoint another person as their personal representative.

HIPAA compliance

Privacy

AmeriHealth is committed to protecting the privacy of our members’ personal health information. Part of that commitment is to comply with the privacy rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). That rule sets standards for covered entities, such as AmeriHealth, to protect personal health information and allow an individual access to his or her personal health information.

AmeriHealth has completed activities required for compliance with the privacy rule and has implemented policies and procedures necessary to protect the privacy of our members’ personal health information.

For more information contact the Privacy Office.

Administrative simplification

HIPAA also requires that all payers be capable of performing transactions electronically if requested by providers, groups, or insurance companies; and that transactions must use a standard “HIPAA-compliant” format with regard to file formats, codes, identification numbers, etc. Examples of transactions that fall under these regulations include enrollment records, eligibility information, premium payments, claim submissions, and claim status.

AmeriHealth completed all internal system changes and processes to accept and handle the required electronic transactions.

Security

The HIPAA regulations also include a security rule. Effective on April 21, 2005, the security rule set the standard to ensure the privacy of electronic protected health information. AmeriHealth has implemented the requirements of the rule and continually monitors and manages the required security controls. AmeriHealth continues to implement new technologies that improve the security of infrastructure beyond the requirements of the HIPAA security regulation.

For more information contact the Security Office.

General HIPAA information

• Privacy Guide for our group customers and business partners

HIPAA transactions for providers

• For information about HIPAA compliant transactions, visit the Provider Electronic Data Interchange (EDI) section.

HIPAA inquiries

If you have questions regarding HIPAA, please contact:

• HIPAA Privacy: submit an email
• HIPAA Security: submit an email

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Website last updated: 7/13/2023

AmeriHealth Medicare coverage issued by AmeriHealth Insurance Company of New Jersey.