HIPAA Primer for BravoRx

Dear BravoRx,

Please get your collective heads out of your asses and research what is and is-not information that is protected by HIPAA.  Today I had to spend 20 min on the phone yelling at one of your representative because they would not give me the birth date they had on file (which was wrong) because they said it was a HIPAA violation.   Because your company sucks and you are lazy, I will spell it out for you.

If I fill Rx’ for a patient, I fall under “patient care” therefore no medical information can be withheld from me in the name of HIPAA.  Go look it up.

Here, I’ll do it for you:
http://www.hhs.gov/hipaafaq/administrative/259.html


Yes. The pharmacist is using the protected health information for
treatment purposes, and the HIPAA Privacy Rule does not require covered
entities to obtain an individual’s consent prior to using or disclosing
protected health information about him or her for treatment, payment,
or health care operations.

See that? FOR TREATMENT PURPOSES.  However this clause does not apply because a birthdate is not MEDICAL INFORMATION!!!  Its a fucking birthdate! Get your head out of your ass!  Its not a SS# but something that is pubically available!

So thank you BravoRx Rep, for wasting my time with your shitty substandard service and lousy reimbursement rates.

May the pox of Argus be upon thee,

TheAngryPharmacist

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9 Comments

  1. Krissy says:

    My guess: his wife stole the bottle and refilled for her own personal use? :)

  2. Rebecca says:

    hahahaha…PUBICALLY available…i almost peed myself. you’re right – insurance phone assistance jockeys suck. sometimes a person doesn’t qualify for a job at McDonald’s. where do you turn? that’s right. telephone operator at a health insurance company. at least i know that i will have job opportunities if this pharmacy thing doesn’t pan out. i hope your wednesday is easier than your tuesday.

  3. Phathead says:

    I’ve had insurance companies refuse to give me the patients name… because they had misspelled it. I had the name, address, phone number, ID number, SSN and they wouldn’t match it up because they had Petersen when it was Peterson. Actually now that I think about it I believe it was humana..

  4. rph3664 says:

    One insurance company that was used by lots of people in the town where I used to live once issued cards that did not match the computer entry; numbers were usually transposed or one digit off somewhere.
    No, I don’t think it was a data entry error – at least, not one that was unintentional.
    This didn’t last very long.

  5. Hogarth says:

    I’ve had PBMs tell me that the Rx number itself is HIPAA protected! That’s completely ludicrous.

  6. Ryan Frank says:

    I’ve always wondered why maintence meds like insulin (I’m a type 1 diabetic, so this is a personal interest of mine) can’t be given an ‘refil forever’ status. Short of a major medical breakthrough, I’m not going to stop needing insulin dangit.

  7. Phathead says:

    Hey TAP, I know this isn’t the right place for this but seeing as I can’t find another link for it, would you be willing to give me some advice on a bit of an issue I’m having? Not sure the best way to contact you but my blog link there will lead you to my issue. Thanks in advance.

  8. you forgot to mention the ‘i wont give you the brand/generic co. or ndc number we cover…. good luck guessing the last two digits.. oh BTW its also a discontinued drug’ ive had to deal with alot of dimwitted people at insurance companies over the years

  9. rxkerber says:

    I cannot tell you how many arguments I’ve had with the damn PBMs over this very issue. I’ve used the same reasoning, not protected info if used for payment and/or treatment of a patient. I mainly had these problems right when HIPAA went into effect. Not so much anymore.
    Good luck

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