Medical/Professional Relations
Frequently Asked Questions regarding New Electronic Signature Process:
How do Social Security's signature processes meet the requirements for a valid authorization under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule? 
What steps does Social Security take to verify identity of the signer? 
How does Social Security protect the information that it gets from health care providers? 
Is a disclosure to Social Security safe?
Why is Social Security using an employee attestation process for Form SSA-827 when individuals apply for disability benefits by telephone or in a Social Security office? 
How do Social Security's signature processes meet the requirements for a valid authorization under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule?
The HIPAA Privacy Rule (45 CFR 164.508(c)) requires  that valid authorization forms contain certain core elements, including a  signature.  Social Security’s form  contains all of the required elements.   
The Department of Health and Human Services’ Office  of Civil Rights has stated that Social Security’s use of an employee  attestation process or an internet click-and-sign process to execute the  SSA-827 (Authorization to Disclose Information to the Social Security  Administration) would result in a validly executed HIPAA authorization,  provided the processes comply with the Office of Management and Budget’s (OMB)  procedures issued pursuant to the Government Paperwork Elimination Act (GPEA)  (Public Law 105-277).  
Under GPEA, OMB ensures that agencies, when  practicable, provide for the option of electronic maintenance, submission or  disclosure of information and for the use and acceptance of electronic  signatures.  GPEA states that electronic  records submitted or maintained in accordance with the procedures developed by  OMB, or electronic signatures or other forms of electronic authentication used  in accordance with such procedures, “shall not be denied legal effect,  validity, or enforceability merely because such records are in electronic form”  (Pub. L. 105-277, section 1707).  Social  Security developed its attestation process and internet click and sign process  in accordance with OMB procedures. 
What steps does Social Security take to verify the identity of the signer?
To verify the identity of the signer, we match the disability applicant’s answers during the application process with the following information in our records: name, date of birth, Social Security number, place of birth, work history, and mother’s maiden name. Further, Social Security employees must resolve any inconsistencies identified during the extensive application and evidence development processes before a claim can proceed.
How does Social Security protect the information that it gets from health care providers?
In response to a request from us, the provider makes the authorized disclosure only to Social Security or to our affiliated State disability determination service offices. The provider is never instructed to release the information to an individual. Once we have the information, Social Security will only redisclose information under very limited circumstances allowed by law. Individuals who request their own records from us must pass identity verification before we will provide access to the records.
Is a disclosure to Social Security safe?
We recognize that ensuring proper disclosure of personally  identifiable information is a complex and important responsibility,  particularly in light of the variety of requestors and possible signature  types.
We  place the highest value on individual privacy and information security, while  still seeking operational efficiency.  Requests from Social Security  and its affiliated state agencies (disability determination services) present a  unique circumstance warranting special consideration.  Disclosure to  Social Security is safe for many reasons: 
We are  a known, recurring, and frequent source of requests for information.
  
    
- On behalf of our claimants nationwide, we request approximately 15 million medical records each year.
- Every request to medical sources comes directly from Social Security or our affiliated State agencies – our requests never come from a third-party source.
- We always send the same, standardized, HIPAA-compliant authorization form with our requests for records.
- Every request is in the context of an active disability case.
We have  a thorough and transparent signature process for our authorization form. 
      For every claimant that applies for Social Security disability benefits, we  always take the following steps:
- We verify personal information against information in our records to establish that the individual applying for benefits and signing the authorization form is who he or she purports to be.
- We explain the disability claims process and the purpose of signing the authorization form, and we give the claimant the opportunity to review the form before signing.
- We transmit the form directly to our systems to protect it from alteration after signing and link it to the disability claim.
- We retain a record of the claim and the form in our systems.
- We provide claimants with a copy of the same signed image we will provide to their sources of information.
We  protect the information we receive. 
      
      The Privacy Act of 1974 governs the information Social Security collects and  retains.  We have implemented stringent policies to protect personally  identifiable information and prevent improper redisclosure.  We do not  redisclose the information we receive, except in limited situations allowed by  law.  Even redisclosures to claimants themselves require compliance with  strict procedures, which include verification of identity.
      Social Security has built  a strong reputation for safeguarding the privacy of individuals and the security  of our information systems.  Like all custodians of personally identifiable  information, we have a responsibility to take reasonable steps to prevent  improper disclosures.  We are proud of our stringent policies for  preventing improper disclosure and our record of protecting personal  information.  
Why is Social Security using an employee attestation process for Form SSA-827 when individuals apply for disability benefits by telephone or in a Social Security office?
Social Security continually looks for ways to provide electronic  options for gathering the information we need to process claims for benefits. 
Since  2004, Social Security has successfully processed millions of retirement,  survivors, and disability applications, by using click-and-sign signatures for  applications filed online, and by using employee attested signatures for  applications taken in person and over the telephone. We are now extending these  trusted processes to the SSA-827 in order to speed our handling of that form.  Both of our signature processes include:
- verification of the claimant’s identity;
- a full explanation of the purpose of signing the authorization to disclose information to SSA;
- opportunity to review the SSA-827 prior to signing;
- the option to explicitly demonstrate intent to authorize disclosure;
- a copy of the signed SSA-827 as a receipt; and
- an auditable trail within SSA’s case processing systems that documents the signature process.
Both processes result in signed, legally valid authorizations.
Useful Links
- Information on Form SSA-827
- How SSA-827 Meets Requirements
- Get important updates about Social Security’s Electronic Signature Process
- U.S. Department of Health & Human Services (HHS) FAQs:
- Professional/Medical Relations Officers In Your Area
- Health and School Professionals
- Disability Evaluation Under Social Security
- Consultative Examinations: A Guide for Health Professionals
- Disability Related Publications For Health & School Professionals
- Electronic Records Express