A “Sample Letter To Collection Agency Violation Of HIPAA” is a formal notice. It tells a collection agency that they mishandled your private health information. This usually happens when they share details about your medical debt with unauthorized parties. If a debt collector reveals your medical condition to your employer or neighbors, you may need this letter.
Dealing with HIPAA violations can be tough. Writing the right letter is key. We’re here to help make it easier.
In this article, you’ll find samples and templates. These examples of the “Sample Letter To Collection Agency Violation Of HIPAA” will guide you. You can use them to create your own letter. It’s like having a cheat sheet for standing up for your rights.
Sample Letter To Collection Agency Violation Of Hipaa
[Your Name]
[Your Address]
[Your City, State, Zip Code]
[Your Phone Number]
[Your Email Address]
[Date]
[Collection Agency Name]
[Collection Agency Address]
[Collection Agency City, State, Zip Code]
Subject: HIPAA Violation – Account Number [Your Account Number]
To Whom It May Concern:
I am writing to inform you of a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) related to your collection efforts for account number [Your Account Number].
I received a communication from your agency that disclosed information about my medical condition/treatment/services without my authorization. Specifically, [Clearly describe the information disclosed and how it violates HIPAA. For example: “the letter referenced a specific medical procedure I underwent,” or “your representative discussed my medical debt with my employer”].
This disclosure violates HIPAA regulations, which protect the privacy of my protected health information (PHI). I did not provide consent for you to share this information with any third party.
I demand that you immediately cease all collection activities related to this account. I also request written confirmation that you have taken steps to correct this violation and prevent future occurrences. This includes but is not limited to, training your staff on HIPAA compliance and reviewing your internal policies and procedures.
Please provide me with a written response within 10 business days outlining the steps you will take to address this matter.
Failure to comply may result in me filing a complaint with the Department of Health and Human Services Office for Civil Rights and pursuing legal action.
Sincerely,
[Your Signature]

How to Write Sample Letter To Collection Agency Violation Of HIPAA
1. Subject Line: Clarity as a Preemptive Strike
The subject line should be unambiguous. Employ definitive language to flag the letter’s gravamen at a glance.
- Example: Subject: HIPAA Violation Notice – Account [Account Number]
- Avoid ambiguity; precision is your watchword.
2. Salutation: Commence with Civility
Even when contesting an impropriety, initiate contact with a modicum of respect. Maintain an air of professionalism throughout.
- Option 1: Dear Collection Agency Representative,
- Option 2: To Whom It May Concern: (Use if the representative’s name is unknown.)
3. Introduction: Setting the Stage with Factual Precision
The opening paragraph should succinctly delineate the purpose of your missive and identify the pertinent account. Leave no room for misinterpretation.
- State your name and address clearly.
- Reference the specific account number in question.
- Assert that you are writing to notify them of a potential HIPAA violation concerning your protected health information (PHI).
- Example sentence: “I am writing to formally notify you of a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) pertaining to account number [Account Number].”
4. Detailing the HIPAA Violation: Concretize the Grievance
This section is the linchpin of your letter. Articulate the specifics of the alleged violation with unwavering clarity and provide substantiating details.
- Specify how your PHI was disclosed without your authorization or consent.
- Include the date of the unauthorized disclosure, if known.
- Name the parties to whom the information was disclosed.
- Describe the nature of the PHI disclosed. Was it a diagnosis? A treatment plan?
- Example sentence: “On or around [Date], your agency disclosed my medical information, specifically [Type of Information], to [Name of Third Party], without obtaining my prior written consent, thereby contravening HIPAA regulations.”
5. Demand for Rectification and Assurance: A Call to Action
Clearly state what remedial actions you expect the collection agency to undertake. This is not merely a complaint; it’s a demand for accountability.
- Demand that the agency immediately cease all communication regarding the debt until the HIPAA violation is resolved to your satisfaction.
- Request a written assurance that the agency will implement measures to prevent future HIPAA breaches.
- Inquire about the agency’s internal investigation into the matter and request a summary of their findings.
- A potent statement: “I demand immediate cessation of all debt collection activities and a written assurance detailing the steps your agency will undertake to rectify this egregious breach and prevent future recurrences.”
6. Implicit Legal Recourse: A Subtle Reminder
Without resorting to overt threats, subtly allude to your awareness of your legal rights and potential avenues for recourse.
- Mention your understanding of HIPAA regulations and the potential penalties for non-compliance.
- State that you are documenting all communications and retaining copies for your records.
- Indicate that you reserve all rights and remedies available under the law.
- Example phrase: “Please be advised that I am meticulously documenting all correspondence related to this matter and reserve all rights and remedies available to me under applicable federal and state laws.”
7. Closing: Formal Yet Firm
Conclude with a professional closing that reinforces your expectation of a prompt and satisfactory resolution.
- Option 1: Sincerely, [Your Name]
- Option 2: Respectfully, [Your Name]
- Include your phone number and email address for ease of contact.
- End with a sentence reiterating your expectation of a swift response: “I anticipate your prompt attention to this critical matter.”
Frequently Asked Questions: HIPAA Violation Letters to Collection Agencies
This section addresses common inquiries regarding letters sent to collection agencies concerning potential HIPAA violations. It aims to provide clarity on the process and legal considerations.
What constitutes a HIPAA violation by a collection agency?
A HIPAA violation occurs when a collection agency improperly discloses Protected Health Information (PHI) without proper authorization, or uses PHI in a manner not permitted by HIPAA regulations.
What information should I include in a HIPAA violation letter to a collection agency?
Your letter should clearly identify the specific PHI disclosed, the date of the disclosure, the circumstances surrounding the disclosure, and why you believe it constitutes a HIPAA violation.
What should I do after sending a HIPAA violation letter to a collection agency?
Retain a copy of the letter and any supporting documentation. You should also consider filing a complaint with the Department of Health and Human Services (HHS) Office for Civil Rights (OCR).
Can I sue a collection agency for a HIPAA violation?
While HIPAA itself does not provide a private right of action, you may be able to pursue legal action under other laws based on the improper disclosure of your PHI, depending on the specific circumstances and applicable state laws.
What if the collection agency ignores my HIPAA violation letter?
If the collection agency fails to respond or address the violation adequately, escalate the matter by filing a complaint with the HHS OCR and considering consultation with an attorney specializing in HIPAA compliance.
Related:
Sample Letter To Children In Safe Houses
Sample Letter To Clients From Real Estate Assistant
Sample Letter To Clients About Closing A Business