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UnderGround Forums >> Mayhem's accusations RE medical insurance


10/24/12 12:41 PM
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VegasBatman
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EighNullSects - I cannot believe you guys think this is Jason's fault. Really fucking sad.

So you take his story at face value without listening to the other side of the story?

Well one side made a pretty clear claim that he didn't get surgery because he feels, from experience, that ZUFFA makes it as hard as possible to get coverage for this stuff when you're not a top guy. And then when he tries, things seem a bit off.


The other side pretty clearly violated HIPPA.
10/24/12 12:43 PM
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Stu Cazzo
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VegasBatman - 
TeamRenzo - 
EighNullSects - I cannot believe you guys think this is Jason's fault. Really fucking sad.

So you take his story at face value without listening to the other side of the story?

Well one side made a pretty clear claim that he didn't get surgery because he feels, from experience, that ZUFFA makes it as hard as possible to get coverage for this stuff when you're not a top guy. And then when he tries, things seem a bit off.


The other side pretty clearly violated HIPPA.

1 - that's complete bullshit.  He's covered throught insurance - not Zuffa.  And many fighters that have 1/50th of the popularity of Miller have spoken about UFC insurance doing everything possible to fix their problem even after they've been fired.

2 - It's not a violation in any way, shape, or form.  lol @ the armchair lawyers here

10/24/12 12:44 PM
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Quickash1t
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HIPPA was not violated.
All that was in the email was that Jason never brought a film to even have this medical claim started.
No personal records no actual medical information of any sort.
Just he didn't bring the MRI film to a doctor.
10/24/12 12:44 PM
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Quickash1t
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HIPPA was not violated.
All that was in the email was that Jason never brought a film to even have this medical claim started.
No personal records no actual medical information of any sort.
Just he didn't bring the MRI film to a doctor.
10/24/12 3:48 PM
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HOLLYWOOD-MO
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Quickash1t - HIPPA was not violated.
All that was in the email was that Jason never brought a film to even have this medical claim started.
No personal records no actual medical information of any sort.
Just he didn't bring the MRI film to a doctor.

Are you sure about that? Let's see:


"Here are all of the medial records I have for Jason. We paid for his MRI and Doctors visits. "


That information is confidential to the patient and doctor, and anyone involved in the patient's direct care (PA's, X-Ray Techs, Office workers, etc) Why is it being posted on a public forum?



"At his last appointment Dr. Limpisvasti told him he needed to bring in his films to review before any surgical decisions were made, which he never did. At this point without Dr. Limpisvasti seeing the films I am not sure how he is saying we denied a surgery that has not been requested yet."

That information is confidential. Why is it being posted in a forum? Granted, if the statements are true, Dana and the UFC shouldn't be bashed for not providing an MRI. You can also say that Jason was irresponsible in not providing any film/document that was requested by the physician. But none of that information should be posted in a public forum or provided to anyone that is not directly involved in Jason's care.


Thank you,

[ufc]
BRIANA MATTISON | MEDICAL CLAIMS MANAGER
"
10/24/12 3:51 PM
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HOLLYWOOD-MO
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BTW, Dana could have certainly said any and/or all of Jason's treatments were paid for by the UFC. Specifics of MRIs, Doctors, etc shouldnt be given out
10/24/12 4:13 PM
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AshDoherty
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10/24/12 10:32 PM
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Haulport
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Orcus Knows MMA Better Than Goku -  What films? Phone Post

The God Father II and Legally Blond.

10/24/12 10:37 PM
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the geek
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Haulport - 
Orcus Knows MMA Better Than Goku -  What films? Phone Post

The God Father II and Legally Blond.


lol

10/25/12 1:10 PM
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MattyECB
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I'm sorry but there are so many idiots on this forum. First of all, HIPPA would cover even giving a doctor's name, let alone all the information BLAF gave out -- so in terms of what information was given, yes that's a privacy violation, even the mere fact that he said Dr. Limpisvasti.

The grey area is whether or not the UFC would be considered a covered entity, which HIPPA concerns, or simply an employer. I don't think HIPPA would cover actions taken by BLAF because I don't think he'd be considered a covered entity, but he'd almost surely be breaking some other related privacy laws.


Most importantly however, is how stupid this whole hubbub is. Coverage is controlled by the insurance company. All the shit Mayhem moans about, not only is it the same shit any fucking human being whos ever had to do MRIs will be at least somewhat familiar with, but even if it was strange and irregular, it wouldn't at all be because of actions taken by the UFC. I can't believe BLAF even bothered refuting this, the Dr. asked Mayhem for his scans, Mayhem asked him if something fishy was up, and then over-analysed a confused Dr.'s silence lol
10/25/12 1:14 PM
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MattyECB
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Mayhem was being silly and there almost surely wasn't anything fishy.
Even if there was, it almost surely wouldn't have anything to do with the UFC as a company, but rather the insurance provider UFC pays premium to.


Yes BLAF gave out information he probably shouldn't have, and whether or not it's a HIPPA violation isn't because of the information he gave out, but whether or not he's considered a covered entity.
And yes, even if it's not a HIPPA violation, he's probably breaking some other privacy law, but...


Most importantly, Mayhem isn't going to suddenly pursue legal action over such a minor reveal of information, particularly considering the lawyers UFC has. No real foul play here at all, and a real minor fuck up on BLAF's part imo that'll have no consequences lol
10/25/12 1:20 PM
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Stu Cazzo
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The Privacy Rule excludes from protected health information employment records that a covered entity maintains in its capacity as an employer and education and certain other records subject to, or defined in, the Family Educational Rights and Privacy Act, 20 U.S.C. §1232g.

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