Privacy and EOBs

[Guest JulieJ]

Has anyone heard that there is now a requirement, per the new HIPAA Privacy Regulations, that when a health plan sends out an EOB for a dependent ,which typically goes to the employee including any applicable check, that a DUPLICATE EOB also needs to be sent to the dependent even if the dependent lives at the same address (i.e., spouse or full-time student living at home)?

If you have heard that this is requirement, please let me know where this requirement appears. I have heard talk of this, but I cannot seem to find any solid documentation that it is true required. Thanks for your help!

[Jbentz]

I have not heard of that requirement, nor can I find any reference to it in the regs or December 4th guidance.

[Steve72]

I'm not familiar with that requirement either. It would seem to be counter to the HIPAA rules to require an additional disclosure.

Of course, whether a requirement is logical doesn't necessarily mean anything....