What is the difference between PHI and PII?

Definition

PHI is health information tied to a specific person and held by a healthcare provider, health plan or their partners, which HIPAA protects. PII is the broader category: any information that can identify a person.

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Data
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protected health information, PHI vs PII
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PII (personally identifiable information) is NIST's name for information that can be used to distinguish or trace an individual's identity, such as name, Social Security number or biometric records, either alone or combined with other information that is linked or linkable to that person, like date and place of birth.

PHI (protected health information) is a term from US health privacy law. HHS explains that the HIPAA Privacy Rule covers individually identifiable health information that a covered entity or its business associate holds or transmits in any form. Covered entities are health plans, healthcare clearinghouses and those healthcare providers that run certain transactions electronically.

How they relate

Every piece of PHI is also PII, because it identifies a person. Not all PII is PHI. HHS's guidance says a name or phone number on its own isn't PHI. It becomes PHI when it is linked to health information, for example when it shows that a person was treated at a particular clinic.

An example

Your name and home address in a people-search listing is PII. The same name in a hospital's records next to your diagnosis is PHI, and the hospital has legal duties about how it uses and shares it.

Why it matters

HIPAA binds the clinic, insurer and their partners, not everyone who holds information about your health. Health details you share with a general app or a website may not get HIPAA protection at all, though other laws can apply. It's worth knowing which rules cover which of your data before you decide to share it.

How to protect yourself

  1. 1

    Ask who is covered before you share health details

    Ask a provider, insurer or app whether they are a HIPAA covered entity. A fitness or wellness app often isn't.

  2. 2

    Use your right to see your records

    Under the Privacy Rule you can ask a covered provider or insurer for copies of your health records. Check them for errors.

  3. 3

    Share the minimum

    Give health details only where they're needed, and be careful with forms that ask for more than the service requires.

  4. 4

    Keep your general PII out of data broker listings

    Your name, address and phone number are PII even when no health data is attached. Serus finds where they are listed and removes them.

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Frequently asked

Is PII the same as PHI?

No. PII is any identifying information. PHI is health information tied to a person and handled by entities HIPAA covers. PHI is a type of PII, but most PII isn't PHI.

Is my name PHI?

Not by itself. HHS's guidance says identifiers like names become PHI when linked to health information, such as treatment at a clinic.

Does HIPAA protect health data I give to an app?

Only if the app is run by or for a covered entity or its business associate. Many consumer apps are neither. Check the privacy policy.

Sources

Something wrong or out of date? Tell us and we'll re-check it.

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