Health Plan Corrects Computer Flaw that Caused Mailing of EOBs to Wrong Persons
Health Plan Corrects Computer Flaw that Caused Mailing of EOBs to Wrong Persons
Covered Entity: Health Plans
Issue: Safeguards
A national health maintenance organization sent explanation of
benefits (EOB) by mail to a complainant's unauthorized family member.
OCR's investigation determined that a flaw in the health plan's computer
system put the protected health information of approximately 2,000
families at risk of disclosure in violation of the Rule. Among the
corrective actions required to resolve this case, OCR required the
insurer to correct the flaw in its computer system, review all
transactions for a six month period and correct all corrupted patient
information.
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