CarePlus notifies 11.2k after programming errors led to PHI being sent to wrong members

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CarePlus Health Plans, a Florida-based insurer specializing in Medicare Advantage HMO plans, began notifying 11,200 members this week to a potential privacy breach, company spokeswoman Nancy Hanewinckel confirmed to Becker's Hospital Review.

A series of programming and printing errors caused explanation of benefits letters to be mailed to incorrect members.  About 11,200 members received EOBs detailing another member after they were mailed out Jan. 9 and Jan. 16.

Member name, CarePlus identification number and plan name, dates of services, providers of services and services provided were included. No Social Security numbers or personal financial information was contained in the letters.

CarePlus does not believe any of the data has been used inappropriately, and it is taking steps to prevent a similar incident from occurring again. These steps include enhancements to its printing software, more rigorous testing procedures and implementation of additional quality audit controls of EOBs prior to mailing, Ms. Hanewinckel told Becker's.

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