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Having information is key to making good health decisions. This is why knowing about everything about your health is vital for you. That is what the Interoperability Rule is all about, so that you and your care team can have all the data about your health they need.
The Interoperability Rule is a federal regulation that aims to make it simpler for you to get all your health information and share it with whoever you want in an electronic format to support you in your health-related process. We will share with you all your health data that we have in our systems since January 1, 2016, until now. At that moment, all health plan, hospital and drugstore systems, and other providers that save your information will be able to communicate with each other.
The purpose of the Interoperability Rule is that you have access your protected health information through an application of your choice to help you make informed decisions about your health care and treatment. You will be able to see the information through an app of your choice. You will also be able to allow access to those who you feel can help you with your health-related matters Below we explain important facts that you should know about when accessing your information through an application.
You will have access to data about your medical visits, claims submitted by your providers, service requested, diagnoses, lab test results and private information about your health conditions such as HIV, treatments for drug use and mental health conditions. There may be a lot of information that you do not understand. You can clear up any doubts with the help of your family doctor. It is also important that your doctors have access, so they know all the treatments you are getting or have received before. As a result, they can better arrange the care you need.
As the owner of your data, you will be able to choose which app you want to use. Look in your phone or tablet's app store. These apps are known as APIs (Application Programming Interface) and there are many choices.
To give an app access to your information, it is important that you create an account in Mi Triple-S. Once you choose the one you want to use, when the app tells you, enter your Mi Triple-S username and password.
It is important to be careful when you give access to your health information. Before giving your consent to access your information, carefully review the application's privacy and security practices. Use apps from reputable and well-known companies. Do not share passwords with strangers. Protect the privacy of your health conditions and treatments. This information is valuable, so keep it safe with the same care as you would protect your bank account information or your credit and debit cards.
Be sure to evaluate all of these elements before allowing access to your protected health information.
The Health Insurance Portability and Accountability Act of 1996 applies to entities such as health plans, clearinghouse organizations, health care providers and business associates that provide services to us assisting in the management and coordination of your health care services.Applications are not necessarily covered by HIPAA, so your role is an important one in protecting your information.
What to do if you believe an application used, disclosed or sold your information inappropriately? If you think an app has wrongly used, revealed, or sold your information, you can send a complaint to the Federal Trade Commission (FTC) at: https://consumer.ftc.gov/articles/how-protect-your-privacy-apps
You can also send your complaint to the OCR, the Office of Civil Rights, at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf. If you understand there is a mistake in the data the app is showing, please contact our call center at the numbers below.
Remember that through the Mi Triple-S portal you have access to a summary of your clinical profile in an easy and organized way. Even though Mi Triple-S is not an API, it gives you the information you need to make better health decisions. You control who will get access to your health information. You can give access to loved ones who support you in your health care. Your doctors can also have access to review it. Mi Triple-S also complies with the HIPAA privacy regulations.
At Triple-S our mission is to facilitate long and healthy lives. Our goal is to help you make good health choices and enjoy the lifestyle you choose. That is why we are committed to giving you with access to your health information. Always following industry, local, and federal best practices and regulations, and above all, protecting your privacy.
Developer: Connect your app to our systems and access our developer portal.
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By clicking this link, you are leaving the website of Triple-S Advantage. If you need further assistance you may contact the Member Service Center of Triple-S Advantage at 1-888-620-1919. (TTY users should call 1-866-620-2520.) Hours are Monday through Sunday from 8:00 am to 8:00 pm.
Triple-S Advantage has a strong commitment to protecting the confidentiality of our members’ sensitive information. We take information privacy very seriously and it is important to us that our members are made fully aware of a potential privacy issue. We have learned that personal information of some of our members, including their name, health plan identification number, date of service in which treatment was provided, and treatment codes describing the service provided was mailed to the wrong address. The Social Security Numbers and date of birth of our members were NOT disclosed as a result of this incident.
On December 5, 2017, Triple-S Advantage discovered that notices sent in November 2017 to health care providers involved in the treatment of our members were mailed to the wrong address. However, we have not received any indication that the information has been accessed or used by an unauthorized individual.
Triple-S Advantage has performed an extensive investigation into why and how their personal information was disclosed. We have taken immediate steps to ensure additional notices to our members and your health care providers are sent to the correct address, such as: correction of the mailing process, completion of testings and sending the letters to the correct address of your provider. The members who may have been affected by this incident will receive first-class mail notices.
We have reported the incident to the required government agency, the Health Insurance administration of Puerto Rico (ASES) and will comply with the evaluation as required by the Office of Civil Rights within the time period established.
We are making an announcement about this incident so that affected Triple-S Advantage members can consider taking action to reduce the chances that their personal information will be misused:
If you or a family member belong to Triple-S Advantage and want additional information about the incident, you may contact our Customer Service Department from Monday through Sunday from 8:00 am to 8:00 pm at our toll-free number 1-888-620-1919, TTY users should call 1-866-620-2520 or by e-mail at: moc.e1696189260gatna1696189260vdass1696189260s@ecn1696189260ailpm1696189260ocaap1696189260ih1696189260.
You may also visit our Internet website advantage.grupotriples.com for further information.
If you are a Medicare Platino member, you can also contact the Health Insurance Administration of Puerto Rico (ASES) at or Customer and Providers Services Offices (PROBENE) at 1-800-981-2737/1-800-981-ASES from Monday through Friday 8:00 am to 4:30 pm, a Customer Services Representative will assist you. TTY users should call (787) 474- 3389. You can also contact us by email at gro.r1696189260psesa1696189260@dadi1696189260cavir1696189260pedla1696189260icifo1696189260.
Triple-S Advantage sincerely apologize and regret this situation. The privacy and security of our member’s information is very important. We are working hard to strengthen our processes for the benefit and protection of our members.
Please Note: Triple-S Advantage will NOT call or email anyone requesting any personal information as a result of this incident. If you receive an unsolicited call or email that appears to be from Triple-S Advantage, your local hospital or physician office, please do not provide any personal information in response to these calls or emails.
Triple-S Advantage, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Triple-S Advantage, Inc. cumple con las leyes federales aplicables de derechos civiles y no discrimina por razón de raza, color, origen de nacionalidad, edad, discapacidad, o sexo. Triple-S Advantage Inc. 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年 齡、殘障或性別而歧視任何人ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call: 1-888-620-1919 (TTY: 1-866-620- 2520). ATENCIÓN: Si usted habla español, servicios de asistencia lingüística están disponibles libre de cargo para usted. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). 注意:如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-620-1919 (TTY: 1-866-620-2520)。
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