Form F-13167 HIPAA Privacy Revocation of Authorization - Wisconsin Seniorcare - Wisconsin

What Is Form F-13167?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-13167?
A: Form F-13167 is a form used to revoke authorization for the use or disclosure of protected health information under the HIPAA Privacy Rule.

Q: What is HIPAA?
A: HIPAA stands for the Health Insurance Portability and Accountability Act. It is a federal law that protects the privacy of individuals' health information.

Q: What is the HIPAA Privacy Rule?
A: The HIPAA Privacy Rule is a regulation that sets national standards for the privacy and security of protected health information.

Q: What is Seniorcare in Wisconsin?
A: Seniorcare is a program in Wisconsin that provides prescription drug benefits to eligible individuals.

Q: Who can use Form F-13167?
A: Anyone who has previously authorized the use or disclosure of their protected health information under the HIPAA Privacy Rule can use Form F-13167 to revoke that authorization.

Q: Why would someone want to revoke their authorization?
A: There may be various reasons why someone would want to revoke their authorization, such as changing healthcare providers or no longer wanting certain information to be disclosed.

Q: Is revoking authorization permanent?
A: Yes, once authorization is revoked using Form F-13167, it is permanent and cannot be undone.

Q: Are there any fees for revoking authorization?
A: There are typically no fees associated with revoking authorization for the use or disclosure of protected health information.

Q: Can someone else revoke authorization on my behalf?
A: Yes, with the individual's consent, someone else can complete and submit Form F-13167 on their behalf.