General Category > General Questions

Blacking out other patient's names on Medicare R/A's

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nlbarnes64:
I'm looking for a reference where it is mandatory to black out other patient's names on Medicare R/A's before mailing them out to a secondary payer.  I know it's PHI under HIPAA but I need something to show.

PMRNC:
It's called De-identifying.. why do you need to show it is necessary? Sort of common sense under HIPAA.  Not a big deal to black out info and make sure you copy the EOB for each of the other patient files.

nlbarnes64:
I've got people that don't believe me.

DMK:
Remind them that the ID# for Medicare patients is their Social, you can't just share that info with anyone and everyone.  It must be ONLY for THAT patient.  So any other ID #s must be blacked out.

nlbarnes64:
I hear you.  By the way, do you send the last page of the eob with all of your secondary claims?  The page with the explanation codes.  I haven't in the 27 years I've been doing this.  One time, a payer wanted it.  It's being done here and I feel it's such a waste.

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