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HIPAA authorization form
HIPAA authorization form

Learn how to select the HIPAA authorization form to release "Private" claims information

Updated over a week ago

Certain dependent claims may be marked as “Private” due to protections mandated by the Health Insurance Portability and Accountability Act (HIPAA). HIPAA helps keep your protected health information (PHI) safe, including: 

  • What doctors or nurses state in your medical record or in verbal conversations 

  • Information in your health plan's computer system 

  • Billing information used for your medical purchases 

In order for the details of your dependents' PHI to display in your HealthEquity member portal, the dependent must provide us with the signed “HIPAA Authorization Form,” giving us permission to display that information. Until we receive the signed form, their claims will be marked as “Private.” Claims are normally marked “Private” if the dependent is 18 years of age or older. The laws of your state dictate the exact age for private claims and may require other privacy restrictions. 

How to release “Private” claims information

1. Log into your account. Select General Forms and select the HIPAA authorization form. 

2. Print out and have your dependent complete and sign the form. 

3. There is a fax number on the form, or you can email it to HealthEquity or to the address on the form. 

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