COLORADOPhysicalHealthcareHealthcarePhysical OtherSnoopingBusiness Associate (HIPAA)Customer Data InvolvedHealth (basic)Identity (basic)MediumResolved

Madison Street Provider Network

bd_cea83437ddde521e · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Apr 12, 2017

To disclose

—

Affected

9,129

Confidence

95%

Full breach record for Madison Street Provider Network →2 incidents on file

Madison Street Provider Network (dba Spivack Vision Center, CO) reported to HHS on 2017-04-12 an Unauthorized Access/Disclosure breach affecting 9,129 individuals. Unknown individual(s) broke into the entity's offices and searched locked cabinets in the medical records room. No evidence that records were taken or disturbed was found. Breached information was located on Paper/Films. OCR provided technical assistance; the CE removed records from the office and placed them in secure off-site storage.

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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 — partial

? — ?

Breach window unknown

Apr 12, 2017

Filed

—

No filing yet · watching

Compliance clocks stay unassessable until a regulatory filing lands. Dashed segments fill in automatically when corroboration arrives.

Tracked as a single-filing incident — the only disclosure on record for this event so far.Confirmed9,129 affectedView incident

Name: Madison Street Provider Network
norm: madison street provider network

Name: Madison Street Provider Network
norm: madison street provider network
Industry: Healthcaresource default

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 9,129nationwide
Data types: Health (basic)Identity (basic)
HHS breach type: Unauthorized access or disclosure
Where the data lived: Paper / films
Covered-entity type: Business associate
Attack vector: Unauthorized Access
Threat actor: External
Regulator citations: OCR provided technical assistance during the investigation, reminding the CE to ensure a business associate agreement is in place with the secure storage facility.

During the incident: Provided breach notification to HHS, affected individuals, and the media
Investigated the incident
Provided identity repair and credit monitoring services to affected individuals for one year
Removed all paper medical records from the office location
Securely disposed of certain records
Stored remaining paper records in an off-site, secure storage facility
Changes made: Removal of paper medical records from office location
Secure disposal of certain records
Off-site secure storage of remaining paper records
Identity repair and credit monitoring services provided for one year
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: Apr 12, 2017
Raw hash: 05a860a5b8ba27e773f1f7b651a54b03435e28a58e336c1b98406c2b4ecdda1d

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Reporting entityMadison Street Provider Network

Victim entityMadison Street Provider Network

IncidentUnauthorized Access

Stated responseProvided breach notification to HHS, affected individuals, and the media

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing