Questions on Group Health Plan certification:

[Jim Moores]

HI All....      Questions on Group Health Plan certification:   Does a TPA who is providing administrative services for a Group Health Plan (GHP) need to obtain certification from the GHP that the GHP has amended its plan documents before releasing PHI to the GHP? OR is the TPA simply a  Business Associate with no obligations to do so? Assume that the TPA is a wholly owned subsidiary of a Health Plan (Insurer). does the analysis change?   Again, given all the conditions above, if the parent (insurance) company provides Stop Loss for the GHP where the TPA is processing claims, does the parent (insurance) company have to get Health Plan Certification from the GHP? does the TPA have any obligations under this scenario?   Any input would be helpful......         Jim Moores - HIPAA Team Leader - Privacy Antares Management Solutions 23700 Commerce Park Road Beachwood, Ohio   44122-5832   [EMAIL PROTECTED] Phone: (216)292-1605 Fax:      (216)292-1619   To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited. ------------------------------------------------------------------------------ CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that you are strictly prohibited from printing, storing, disseminating, distributing or copying this communication. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank You, Antares Management Solutions. ==============================================================================