Insurance review prep

Strip non-essential identifiers and package a study for third-party insurance review.

Problem

An insurance company requests imaging for claims review. The export must contain only the minimum necessary PHI — typically a Limited Dataset (dates allowed, direct identifiers removed). You need to produce a compliant export that satisfies both HIPAA and insurer requirements.

Steps

1. Open the DICOM file — click Open files… (⌘O) and load the relevant study.
2. Switch to Anonymization mode — click the Anon tab (⌘2).
3. Select Limited Dataset profile — pick “Limited Dataset” from the profile picker. This removes 16 of 18 HIPAA identifiers but retains dates.
4. Review the PHI map — toggle Show only PHI to see which tags will be modified. Dates (Study Date, Patient Birth Date if shifted) should remain.
5. Apply — click Apply & Export. The exported file contains no direct identifiers.
6. Verify — load the exported file. Confirm PatientName is cleared, PatientID is pseudonymized, but StudyDate and related temporal tags are preserved.
7. Audit trail — the audit log in the right rail records the anonymization action with timestamp and profile used.

Result

Direct identifiers are removed or pseudonymized while temporal tags (Study and Series Date) and procedure context (Modality, Body Part, Study Description) are kept for claims review. The audit log records the profile, timestamp, and tags changed for a HIPAA-compliant disclosure.