Notification of Shared Information with Other Payers

What You Need to Know When You Ask Us to Share Your Personal Information with Another Payer

At your request, Blue Cross and Blue Shield of North of North Carolina (Blue Cross NC) is required to provide another health plan (also known as a payer) with access to detailed information about your health history. The information available to the payer includes information we collect about you while you have been enrolled in certain lines of business since January 1, 2016.  The information includes the following information for as long as we maintain it in our records: 

  • Clinical data that we collect in the process of providing case management, care coordination, or other services to you.    

The information we will disclose may include information about treatment for Substance Use Disorders, mental health treatment, HIV status, or other sensitive information.  

It is important for you to understand that the payer you select will have access to all of your information. If you decide to request your personal information be shared with another payer, you should carefully review their privacy policy to ensure you understand how they will use and disclose your personal information. 

Please note, if you have been enrolled in multiple plans with Blue Cross and Blue Shield of North Carolina over the last five years, you will need to complete the authorization process separately for each plan in order to have all applicable data sent to the requested payer.


Covered Entities and HIPAA Enforcement

The U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) enforces the HIPAA Privacy, Security, and Breach Notification Rules.  Blue Cross NC and other payers are subject to HIPAA as are most health care providers, such as hospitals, doctors, clinics, and dentists. You can find more information about your rights under HIPAA and who is obligated to comply with HIPAA here: https://www.hhs.gov/hipaa/for-individuals/index.html.  To learn more about filing a complaint with OCR related to HIPAA requirements, visit: https://www.hhs.gov/hipaa/filing-a-complaint/index.html.  You may also file a complaint with Blue Cross NC by calling the Customer Service phone number on the back of your Member ID card. If your physical card is unavailable, you can find your card online through Blue Connect for 18 months after the coverage end date. Alternatively, you can call Customer Service at 1-888-310-4110 (TTY: 711) for Medicare, seven days a week, 8 a.m. to 8 p.m., Eastern Standard Time Individual Members can call Customer Service at at 1-888-206-4697 (TTY 800-442-7028) Monday-Friday, 8 a.m. to 7 p.m., Eastern Standard Time