Release of Medical Records. If we need to review your medical records you agree to furnish us with required information as described in the Information and Records provision in Section 7:
Release of Medical Records. The contractor shall transfer or facilitate the transfer of the medical record (or copies of the medical record), upon the enrollee's or, where applicable, an authorized person's request, to either the enrollee, to the receiving provider, or, in the case of a child eligible through the Division of Youth and Family Services, to a representative of the Division of Youth and Family Services or to an adoptive parent receiving subsidy through DYFS, at no charge, in a timely fashion, i.e., no later than ten days prior to the effective date of transfer. The contractor shall release medical records of the enrollee, and/or facilitate the release of medical records in the possession of participating providers as may be directed by DMAHS authorized personnel and other appropriate agencies of the State of New Jersey, or the federal government. Release of medical records shall be consistent with the provisions of confidentiality as expressed in Article 7.40 of this contract and the provisions of 42 C.F.R. Section 431.300. For individuals being served through the Division of Youth and Family Services, release of medical records must be in accordance with the provisions under N.J.
Release of Medical Records. Pursu- ant to 5 U.S.C. 552a(f)(3), where re- quests are made for access to medical records, including psychological records, the decision to release directly to the individual, or to withhold direct release, shall be made by a medical practitioner. Where the medical practi- tioner has ruled that direct release will cause harm to the individual who is re- questing access, normal release through the individual’s chosen med- ical practitioner will be recommended. Final review and decision on appeals of disapprovals of direct release will rest with the General Counsel.
Release of Medical Records. I understand The Center may need to obtain medical records and related information from hospitals, nursing homes, physicians, pharmacies, home health agencies, insurance companies, health care benefit plans or others in order to assure continuity of care and proper reimbursement for services. I authorize the above persons and entities to release to The Center and its representative’s medical records and related information necessary for the provision of hospice care. I also authorize The Center and its representatives to release medical records and related information to others for the purposes of my health care, administration and management of my health care (including utilization review) or processing and obtaining payment for services and supplies rendered to me. I understand and agree that these authorizations specifically include my permission and consent to release any information regarding a diagnosis of AIDS or results of Human Immunodeficiency Virus (HIV) tests to the extent permitted by law. A photocopy of this authorization shall be as valid as the original. Medicare: The undersigned certifies that the information given in applying for payment under Title XVIII and Title XIX of the Social Security act is correct. The undersigned authorizes any holder of medical or other information about the patient to release to the Social Security Administration or its intermediaries or carriers any information needed for this or any related medical claim. The undersigned requests that payment of authorized benefits be made on the patient’s behalf. Insurance Assignment: the undersigned hereby authorizes payment directly to The Center of any benefits payable to the patient including disability insurance and payment under Title XVIII or Title XIX of the Social Security Act which is applicable to the patient’s account, but not to exceed the regular charges of The Center. The undersigned understands that the undersigned individuals are financially responsible to The Center for charges not covered by the patient’s medical plan.
Release of Medical Records. I hereby consent and request that copies, if necessary of my prior medical records be delivered to Redline Exercise Rx to establish or continue my plan of care with Redline Exercise Rx. I hereby authorize Redline Exercise Rx to release copies of my medical records or reports or such portions or summaries thereof as may be relevant, to other health care providers or regulatory accrediting bodies for the purpose of continuing and coordinating my plan of care and for quality assurance, survey and accreditation purposes.
Release of Medical Records. Buyer shall cause the Company to promptly respond to requests for access to and copies of Medical Records in accordance with applicable state and federal laws and regulations, including, but not limited to, HIPAA Requirements.
Release of Medical Records. I authorize Ridge Commons Family Dentistry to release all or part of my medical records where required by or permitted by laws or government regulation, when required for submission of any insurance claim for payment of services or to any physician(s) responsible for continuing care.
Release of Medical Records. Written authorization of the patient, or, where applicable, of the next of kin or legal guardian of the patient shall be required for release of medical information to persons not otherwise authorized to receive this information. Any and all requests for copies of medical records should be directed to the Medical Records Department.
Release of Medical Records. I authorize AKDHICM to release any information acquired in the course of my treatment to my primary care physician and to any physician deemed appropriate to my medical care. This information may be released via phone, fax, or mail.
Release of Medical Records. The contractor shall transfer or facilitate the transfer of the medical record (or copies of the medical record), upon the enrollee's or, where applicable, an authorized person's request, to either the enrollee, to the receiving provider, or, in the case of a child eligible through the Division of Youth and Family Services, to a representative of the Division of Youth and Family Services or to an adoptive parent receiving subsidy through DYFS, at no charge, in a timely fashion, i.e., no later than ten days prior to the effective date of transfer. The contractor shall release medical records of the enrollee, and/or
