NRPM: Standards for Privacy of Individually Identifiable Health Information. i. Verification procedures.


As noted in section II.E., for many permitted disclosures the covered entity would be responding to a request for disclosure of protected health information. For most categories of permitted disclosures, when the request for disclosure of protected health information is from a person with whom the covered entity does not routinely do business, we would require the covered entity to verify the identity of the requestor. In addition, for certain categories of disclosures, covered entities would also be required to verify the requestor’s legal authority to make the request.

Under § 164.514, a covered entity would be required to give individuals access to protected health information about them (under most circumstances). The covered entity would also be required to take reasonable steps to verify the identity of the individual making the request for access. We do not propose to mandate particular identification requirements (e.g., drivers licence, photo ID, etc), but rather would leave this to the discretion of the covered entity.

We considered specifying the type of documentation or proof that would be acceptable, but decided that the burden of such specific regulatory requirements on covered entities would be unnecessary. Therefore, we propose only a general requirement for reasonable verification of identity and legal authority.