Confidentiality of Personal and Health Information. Blue Shield protects the privacy of individually identifiable personal information, including Protected Health Information. Individually identifiable personal information includes health, financial, and/or demographic information - such as name, address, and social security number. Blue Shield will not disclose this information without authorization, except as permitted or required by law. A STATEMENT DESCRIBING BLUE SHIELD’S POLICIES AND PROCEDURES FOR PRESERVING THE CONFIDENTIALITY OF MEDICAL RECORDS IS AVAILABLE AND WILL BE FURNISHED TO YOU UPON REQUEST. Blue Shield’s “Notice of Privacy Practices” can be obtained either by calling Customer Service at the number listed in the back of this Evidence of Coverage, or by accessing Blue Shield’s internet site at xxx.xxxxxxxxxxxx.xxx and printing a copy. Members who are concerned that Blue Shield may have violated their privacy rights, or who disagree with a decision Blue Shield made about access to their individually identifiable personal information, may contact Blue Shield at: Correspondence Address: Blue Shield of California Privacy Office P.O. Box 272540 Chico, CA 95927-2540 Access to Information Blue Shield may need information from medical providers, from other carriers or other entities, or from the Member, in order to administer the Benefits and eligibility provisions of this Agreement. By enrolling in this health plan, each Member agrees that any provider or entity can disclose to Blue Shield that information that is reasonably needed by Blue Shield. Members also agree to assist Blue Shield in obtaining this information, if needed, (including signing any necessary authorizations) and to cooperate by providing Blue Shield with information in the Member’s possession. Failure to assist Blue Shield in obtaining necessary information or refusal to provide information reasonably needed may result in the delay or denial of Benefits until the necessary information is received. Any information received for this purpose by Blue Shield will be maintained as confidential and will not be disclosed without consent, except as otherwise permitted by law. Legal Process Legal process or service upon Blue Shield must be served upon Blue Shield’s Registered Agent for Service of Process or upon Blue Shield at Blue Shield’s corporate offices at 00 Xxxxx Xxxxxx, San Francisco, California 94105. Organ and Tissue Donation Many residents in the state of California are eligible to become organ and tissue donors. Donors can affe...
Confidentiality of Personal and Health Information. Blue Shield of California protects the confidential- ity/privacy of your personal and health infor- mation. Personal and health information includes both medical information and individually identifi- able information, such as your name, address, tele- phone number, or social security number. Blue Shield will not disclose this information without your authorization, except as permitted by law. A STATEMENT DESCRIBING BLUE SHIELD'S POLICIES AND PROCEDURES FOR PRESERVING THE CONFIDENTIALITY OF MEDICAL RECORDS IS AVAILABLE AND WILL BE FURNISHED TO YOU UPON REQUEST. Blue Shield’s policies and procedures regarding our confidentiality/privacy practices are contained in the “Notice of Privacy Practices”, which you may obtain either by calling the Customer Service Department at the telephone number indicated on your Identification Card, or by accessing Blue Shield of California’s internet site located at xxxx://xxx.xxxxxxxxxxxx.xxx and printing a copy. If you are concerned that Blue Shield may have vi- olated your confidentiality/privacy rights, or you disagree with a decision we made about access to your personal and health information, you may contact us at: Correspondence Address: Blue Shield of California Privacy Official X.X. Xxx 000000 Xxxxx, XX 00000-0000 Toll-Free Telephone:
Confidentiality of Personal and Health Information. Blue Shield protects the privacy of individually iden- tifiable personal information, including Protected Health Information. Individually identifiable per- xxxxx information includes health, financial, and/or demographic information such as name, address, and social security number. Blue Shield will not disclose this information without authorization, except as per- any provider or entity can disclose to Blue Shield that information that is reasonably needed by Blue Shield. Members also agree to assist Blue Shield in obtaining this information, if needed, (including signing any necessary authorizations) and to xxxxxx- ate by providing Blue Shield with information in their possession. Failure to assist Blue Shield in ob- taining necessary information or refusal to provide information reasonably needed may result in the xx- xxx or denial of Benefits until the necessary informa- tion is received. Any information received for this purpose by Blue Shield will be maintained as confi- dential and will not be disclosed without consent, ex- cept as otherwise permitted by law.
Confidentiality of Personal and Health Information. Blue Shield protects the privacy of individually identifiable personal information, including Protected Health Information. Individually identifiable personal information includes health, financial, and/or demographic information - such as name, address, and social security number. Access to Information Blue Shield may need information from medical providers, from other carriers or other entities, or from the Member, in order to administer the Benefits and eligibility provisions of this Agreement. By enrolling in this health plan, each Member agrees that any provider or entity can disclose to Blue Shield that information that is reasonably needed by Blue Shield. Members also agree to assist Blue Shield in obtaining this information, if needed, (including signing any necessary authorizations) and to cooperate by providing Blue Shield with information in the Member’s possession. Failure to assist Blue Shield in obtaining necessary information or refusal to provide information reasonably needed may result in the delay or denial of Benefits until the necessary information is received. Any information received for this purpose by Blue Shield will be maintained as confidential and will not be disclosed without consent, except as otherwise permitted by law. Legal Process Legal process or service upon Blue Shield must be served upon Blue Shield’s Registered Agent for Service of Process or upon Blue Shield at Blue Shield’s corporate offices at 00 Xxxxx Xxxxxx, San Francisco, California 94105. Organ and Tissue Donation Many residents in the state of California are eligible to become organ and tissue donors. Donors can affect the well-being of one or more of the estimated 100,000 people in the United States of America who must face death daily while waiting for an organ transplant. One person on this list dies about every three hours – all the while waiting for an organ or tissue donation. For more information on organ and tissue donation, or to register as a donor, visit the California Transplant Doctor Network’s internet site at xxx.xxxx.xxx or Donate Life California’s internet site at xxx.xxxxxxxxxxxxxxxxxxxx.xxx. Potential donors can also call the regional organ procurement agency in the nearest city nearest for additional information on organ and tissue donation.
Confidentiality of Personal and Health Information. Blue Shield protects the privacy of individually iden- tifiable personal information, including Protected Health Information. Individually identifiable per- xxxxx information includes health, financial, and/or demographic information such as name, address, and social security number. Blue Shield will not disclose this information without authorization, except as per- Access to Information Blue Shield may need information from medical providers, from other carriers or other entities, or from the Member, in order to administer the Benefits and eligibility provisions of this Contract. By en- rolling in this health plan, each Member agrees that any provider or entity can disclose to Blue Shield that information that is reasonably needed by Blue Shield. Members also agree to assist Blue Shield in obtaining this information, if needed, (including signing any necessary authorizations) and to xxxxxx- ate by providing Blue Shield with information in their possession. Failure to assist Blue Shield in ob- taining necessary information or refusal to provide information reasonably needed may result in the xx- xxx or denial of Benefits until the necessary informa- tion is received. Any information received for this purpose by Blue Shield will be maintained as confi- dential and will not be disclosed without consent, ex- cept as otherwise permitted by law.
Confidentiality of Personal and Health Information. Blue Shield of California protects the confidential- ity/privacy of your personal and health information. Per- Plan Interpretation Blue Shield of California shall have the power and discre- tionary authority to construe and interpret the provisions of this Plan, to determine the Benefits of this Plan and deter- mine eligibility to receive Benefits under this Plan. Blue Shield of California shall exercise this authority for the Benefits of all Members entitled to receive Benefits under this Plan. Public Policy Participation Procedure This procedure enables you to participate in established public policy of Blue Shield of California. It is not to be used as a substitute for the grievance procedure, complaints, inquiries or requests for information. Public policy means acts performed by a Plan or its em- ployees and staff to assure the comfort, dignity, and conven- ience of Members who rely on the Plan’s facilities to pro- vide health care Services to them, their families, and the public (California Health and Safety Code, §1369). At least one third of the Board of Directors of Blue Shield of California is comprised of Subscribers who are not Em- ployees, providers, subcontractors or group contract brokers and who do not have financial interests in Blue Shield. The names of the members of the Board of Directors may be obtained from: Sr. Manager, Regulatory Filings Blue Shield of California 00 Xxxxx Xxxxxx San Francisco, CA 94105 Phone: 0-000-000-0000 Please follow the following procedure:
