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What Is Protected Health Information (PHI)?

Protected health information (PHI) is individually identifiable information, which is created, modified, received or maintained by a covered entity that relates to an individual's past, present or future physical or mental condition, treatment, or payment for care. It includes a person's name or information that taken together could be used to identify a person, such as:

  • Date of birth
  • Gender
  • Medical records number
  • Health plan beneficiary numbers
  • Address, zip code
  • Phone number, email address, fax number, IP address
  • License numbers
  • Full face photographic images
  • Social Security Number

PHI can be oral, written, typed or electronic. The following information may be considered PHI or may contain PHI:

  • Diagnosis of a certain condition
  • Procedure codes on claim forms
  • Explanation of Benefits (EOB)
  • Enrollment/change of status data
  • Past, present or future payment for health care

 

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