WASHINGTONSocial EngineeringHealthcareHealthcarePhishingStolen CredentialsCustomer Data InvolvedData ExfiltratedHealth (basic)Identity (basic)MediumResolved

Confluence Health

bd_1e590b3e72a43a2f · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Jul 27, 2018

To disclose

—

Affected

33,821

Confidence

97%

Full breach record for Confluence Health →2 incidents on file

Confluence Health (WA) reported to HHS on 2018-07-27 a Hacking/IT Incident affecting 33,821 individuals. A Confluence Health employee received and responded to a phishing email on March 29, 2018. An unauthorized external actor accessed the employee's email account from a Nigerian internet address on March 30 and again on May 28, 2018, sent phishing emails to multiple recipients, and auto-deleted sent emails. The account contained PHI including ~32,821 patients' names and treatment information. Breached information located on Email. OCR provided technical assistance on the CE's security management process.

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HIPAA clock✓ HHS notified

⚠ no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.

⚠ No discovery dateThe OCR public portal omits the discovery date, so the 60-day notification clock cannot be evaluated from this source — only that the filing was submitted.

Incident timeline

Mar 29, 2018

Begins

Jul 27, 2018

Filed

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed33,821 affectedView incident

Name: Confluence Health
norm: confluence health
Industry: Health Care Services

Name: Confluence Health
norm: confluence health
Industry: Health Care Services
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Breach occurred: Mar 29, 2018 – May 28, 2018
Materiality determined: —
Notification sent: —
Affected individuals: 33,821nationwide
Data types: Health (basic)Identity (basic)
HHS breach type: Hacking / IT incident
Where the data lived: Email
Covered-entity type: Healthcare provider
Attack vector: Unauthorized Access
MITRE ATT&CK: T1566 PhishingT1078 Valid AccountsT1114 Email CollectionT1041 Exfiltration Over C2 Channel
Threat actor: External
Regulator citations: HHS OCR breach notification submittedOCR provided technical assistance regarding the CE's security management process
Initial access: phishing_link

During the incident: Disabled the compromised email account
Blocked certain internet addresses
Required a password reset of all computer network accounts
Created alert notifications for account access
Enabled anti-phishing protections for email system
Heightened reviews of network activity
Implemented multi-factor authentication
Disabled certain types of access from outside the network
Changes made: Anti-phishing protections enabled on email system
Multi-factor authentication implemented
Network access restrictions tightened
Alert notifications for account access created
Password reset required across all network accounts
Source: Quoted from the filing itself, not independently verified.

Compliance flags: HHS notified
Discovery-date grounding: no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: not extracted
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: not extracted → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Jul 27, 2018
Raw hash: b856f9c54ffb0bca432fadd083dd6517b129a7a221923ad98b8f4dc9613a24a3

AI-assisted summary above. The structured extract on this page was generated from the document below. Inspect the source to verify or correct any field.

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Reporting entityConfluence Health

Victim entityConfluence Health

IncidentUnauthorized Access

Stated responseDisabled the compromised email account

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing