Understanding Protected Health Information (PHI): A Legal Overview

Definition & Meaning

Protected health information (PHI) refers to any health information that can identify an individual and relates to their health status, healthcare provision, or payment for healthcare services. This information can exist in various forms, including electronic, paper, or oral communication. Under the U.S. Health Insurance Portability and Accountability Act (HIPAA), PHI is interpreted broadly and encompasses any part of a patient's medical record or payment history. However, it does not include employment records held by covered entities or health information that is part of educational records protected by the Family Educational Rights and Privacy Act (FERPA).

Table of content

Real-world examples

Here are a couple of examples of abatement:

Example 1: A hospital maintains electronic health records that include a patient's medical history, treatment plans, and billing information. This data is considered PHI and is protected under HIPAA.

Example 2: A health insurance company processes claims that contain personal identifiers and health information about a patient's treatment. This information is also classified as PHI and must be safeguarded accordingly.

What to do if this term applies to you

If you believe your PHI has been compromised or if you have questions about your health information, consider taking the following steps:

  • Review your healthcare provider's privacy policies.
  • Contact the provider or insurer to discuss your concerns.
  • Explore legal templates on US Legal Forms to understand your rights and options.
  • If necessary, seek assistance from a legal professional for complex issues.

Quick facts

Attribute Details
Typical Fees Varies by provider
Jurisdiction Federal (HIPAA) and state laws
Possible Penalties Fines for non-compliance with HIPAA

Key takeaways

Frequently asked questions

PHI includes any health information that can identify an individual, such as medical records, treatment history, and payment information.