The term is actually HIPAA, Health Insurance Portability and Accountability Act. HIPAA covers several areas but mainly focuses on giving "credit of time" towards what may otherwise be a pre-existing condition, and, it deals with
privacy rulings of medical records protecting you from just anyone calling your doctor or insurance company to get your medical info without your permission. As far as I know the ruling in October is in regards to allowing doctors/health professionals to contact your other doctors and get your records without your permission when needed. For example if you appear in the emergency room one evening they do not have to wait for you to sign a bunch of release of information forms to get your medical history so they can treat you. The new ruling is to speed things up to provide better care. In general, most medical records are kept by SS# for identity as names and birthdates can also belong to someone else. The insurance company I work for does offer "alternative numbers" for those who do not wish to use their SS#. It is rumored in the industry that eventually everyone will have an alternative number that they will use just for medical services, however until then the SS# is the best for identifing records. I cannot speak for the doctor office refusing service, that may just be their policy. If you want more info on HIPAA try the publications link in CMS.gov or hcfa.gov. Insure.com (select the health icons) is also helpful. (sorry but I am not computer savy enough to set up a link for you) I hope this helps.