Member Medical Records. It may be necessary to obtain Member medical records and information from hospitals, Skilled Nursing Facilities, physicians or other practitioners who treat the Member. When a Member becomes covered, the Member (and if the Member is legally incapable of giving such consent, the representative of such Member) automatically gives CareFirst BlueChoice permission to obtain and use such records and information, including medical records and information requested to assist CareFirst BlueChoice in determining benefits and eligibility of Members. SAMPLE
Member Medical Records. It may be necessary to obtain Member medical records and information from hospitals, Skilled Nursing Facilities, physicians or other practitioners who treat the Member. When a Member becomes covered, the Member (and if the Member is legally incapable of giving such consent, the representative of such Member) automatically gives CareFirst permission to obtain and use such records and information, including medical records and information requested to assist CareFirst in determining benefits and eligibility of Members. SAMPLE
Member Medical Records. Medical Group and the Medical Group Physicians shall maintain Member medical records and related treatment information in such form and containing such information as necessary to comply with applicable state and federal law, including but not limited to, medical histories, medical charts, records and reports from Specialist Physicians and other Referral Providers, hospital discharge summaries, records of Emergency Services and any other information necessary to disclose the quality, appropriateness and timeliness of Covered Services provided to Members under this Agreement. Medical Group shall make available to PacifiCare, upon reasonable notice, such pertinent sections of Member medical records for the purposes of conducting quality assurance and utilization review or for handling and resolving Member grievances and appeals.
