Confidentiality of credentialing information
Policy #2/0444/R2,
Confidentiality
Author(s): Credentialing Committee
Last reviewed 06/2009
- Priority Health will exercise due care with practitioner/provider specific information by keeping all practitioner/provider files locked and in a secure area.
- Priority Health staff will not disclose practitioner/provider confidential or protected information to parties outside of the organization unless required by law, in which case Priority Health Legal Counsel will be involved.
- Direct access to practitioner/provider files is limited to Credentialing team members.
- Other Priority Health personnel who are members of the Credentialing Committee and Priority Health Legal Counsel will have access to practitioner/provider files via a Credentialing team member.
- Priority Health Credentialing Committee minutes do not identify practitioners by name but reference practitioners through a numbering system.
- All Priority Health employees sign a Confidentiality Statement upon employment.
- In addition, all Credentialing Committee members are required to sign a Confidentiality Agreement.
- Priority Health Credentialing department will maintain the complete file of all providers for a minimum of twenty (20) years following termination from Priority Health. Terminated provider files will be maintained on-site at Priority Health in the Credentialing department for the first two (2) years following termination. Files of providers who have not been with Priority Health for over two years will be sent to Kent Records for confidential storage with a destroy date of 20 years.
Supporting documentation: Credentialing Overview Policy #2/0039/R6, NCQA Standard CR 1, Priority Health Confidentiality of Medical Information, Confidentiality Agreement with Third Parties
