Protecting confidential member and provider information from unauthorized disclosure.
State and federal laws require MPHC to protect confidential member and provider information from unauthorized disclosure.
Many of these requirements also apply to the information we receive from providers. Participating providers are required to comply with all laws and regulations applicable to MPHC Health Plans, including but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Providers are also required to permit MPHC to review and duplicate member data and records related to services provided to carry out medical management and quality management programs.