PHI

Medical abbreviation · Health Insurance

PHI
Stands forProtected health information
CategoriesMedical

PHI stands for Protected health information, a health insurance abbreviation.

Individually identifiable health information held or transmitted by a HIPAA covered entity or business associate, in any form, relating to a person's health, care or payment for care. Names, dates, addresses, record numbers and photos linked to health information all count as PHI.

Example: Don't email PHI unencrypted; use the secure messaging portal.

Usage notes

Data are considered de-identified under HIPAA's Safe Harbor method when 18 types of identifiers are removed, or through expert determination. Electronic PHI (ePHI) must be protected under the Security Rule. Breaches affecting 500 or more people must be reported to the HHS Office for Civil Rights and appear on its public breach portal.

More health insurance abbreviations

  • OON – Out-of-network
  • OOP – Out-of-pocket
  • OPPS – Outpatient Prospective Payment System
  • PACE – Program of All-Inclusive Care for the Elderly
  • Par – Participating (provider)
  • PDP – Prescription drug plan (Medicare Part D)
  • PIP – Personal injury protection
  • PMPM – Per member per month
  • POS – Point of service (plan)
  • PPO – Preferred provider organization
  • QHP – Qualified health plan
  • QMB – Qualified Medicare Beneficiary

See all 107 health insurance abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.