PRE HIPAA MEDICAL DISPUTE LETTER TO CRA
You dispute medical accounts this way:
Dear CRA,
My name is xxxxx xxxxxx , my SS # is xxx xx xxxx.
I am sending this dispute certified mail # xxxx to make sure you receive it.
I have no knowledge or records of account # xxxxx from xxxxxx on my report # xxxxx.
Please advise me as to the name and address of the medical provider,
the date and type of service,and to whom the service was provided,
as any account
I might have had would be obsolete. If you can obtain this information, I also would need the name of the
person providing this data, and the manner in which it was provided in order
that I may pursue
additional legal remedies which may include a complaint against your agency to the OCR on HIPAA violations.
Please take notice that your Credit Reporting Agency falls within the purview of subtitle D of
the ARRA , SEC. 13407(1) BREACH OF SECURITY.—The term ‘‘breach of security’’
means, with respect to unsecured PHR identifiable health
information of an individual in a personal health record,
acquisition of such information without the authorization of
the individual.You are therefore now subject to the jurisdiction of the OCR for HIPAA violations,and the penalty rules of the HITECH Act as issued 11/30/2009.
Very truly yours,
xxxxxx
Make sure you HAND ADDRESS the envelope, use personalized stationery and purple or teal font, ( preferably italic).
DO NOT send it RR -WAIT FOR THE FULL RESPONSE FROM THE CRA BEFORE CONTINUING WITH THE HIPAA LETTER PROCESS