AMA (PSA) HIPAA Complaint Form
Please read the following information and scroll down to access the HIPAA Complaint Form.
Report problems related to compliance with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) Transaction and Code Set Standards on this complaint form. Health payers and clearinghouses must be able to process claims in HIPAA-compliant electronic formats. Completion of the form is voluntary and confidential.
Please do not provide us with any "Protected Health Information" about any of your patients. The AMA intends to share aggregated information with the Centers for Medicare and Medicaid Services (CMS), the agency responsible for enforcing the HIPAA electronic transaction and code set requirements; please be aware that completing this form does not constitute filing a complaint with CMS. If you wish to file a complaint, you may do so on the CMS Web site. CMS may use data to help guide its enforcement actions. The AMA will use the data to keep AMA leaders, members, medical societies, the media and other interested parties abreast of HIPAA compliance issues and to advocate on the behalf of physicians. Additionally, the AMA may pursue compliance activities with individual plans, payers or clearinghouses where a pattern of complaints warrants. Since the form is filled out anonymously, neither the AMA nor CMS will respond to individual complainants.
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