PURPOSE OF AUTHORIZATION. To provide a full disclosure of any information to Precision Resolution, LLC, its agents, employees, affiliates, subsidiaries, or representatives is to enable an assessment and evaluation to prepare a Future Medical Cost Projection, and/or Medicare Set-Aside Arrangement or commence a lien resolution action. Note that the claimant may revoke this Authorization at any time by written notice to Precision Resolution, LLC, its agents, employees, affiliates, subsidiaries, or representatives, but that any revocation shall have no effect on actions which have been taken prior to receiving. Any personal health information that the Claimant authorized to disclose may be subject to redisclosure and no longer protected by law. ENTITIES AUTHORIZED TO RELEASE THE INFORMATION: Healthcare Provider, Insurer, Collection Agent:
Appears in 4 contracts
Samples: Lien Resolution Agreement, Lien Resolution Agreement, Lien Resolution Agreement
