Is it legal for a medical group to charge to copy medical records to an insurance company?
In our state, a medical group may charge a reasonable fee of up to 75 cents per page for medical records.
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\n Answer \n. \nAnyone with $$$, even those that don't can get Healthy Families or Medi-Cal, medicaid.\n. \n Answer \n. \nIn most states medical insurance products focus on three markets:\n. \nIndividuals - those who pay for their own coverage because they are unemployed, self-employed o…r their employer does not provide coverage.\n. \nSmall Business - generally defined as employer groups of 2 - 50 employees.\n. \nLarge Business - generally 51+ employee groups. Often this category can be stratified based on number of employees (51 - 200, 201-2000, etc).\n. \nMedical insurance as a category also includes Medicare Supplements and most people consider Denatl & Vision to be as well. (MORE)
Are medical records retrieved by an independent insurance claims underwriting company Consumer Reports as defined by the Fair Credit Reporting Act?
They might be. My first response was to say no, and quote the definitions directly from the FCRA. But, upon reading them, I would prefer you interpret them for yourself, or better yet, refer to an attorney familiar with reading law. FCRA 15 USC 1681a sec. 603(d)(1)(2) and (3) which refers to sec. 60…4(g)(3)...that is where it gets sketchy (for me) and what MIGHT apply to your question. You can print yourself off a copy of the FCRA at www.ftc.gov Sorry to be evasive, but if you need an answer, it is best to get a correct one. (MORE)
Is it legal for a company to refuse to allow you to enroll in their medical insurance simply because you are listed under a spouses insurance plan as well?
Answer . \nIf your company pays the premiums themselves for employee health insurance, it is understandable why they would refuse to cover you. This is an extra cost for them and you are already insured. You could ask them if you yourself could pay for the coverage. Why would you want to be cover…ed under two health plans anyway? If the coverage on one plan is better than the other, then go on the better one, and drop the other.. Answer . No, and I would go after them. They have to extend the same insurance benefits to all employees, regardless of marital status. It's really none of their business if you are ensured elsewhere or not. There is no reason why married women should have to pay for medical coverage and oh, say, single or married men get it free. Get on the phone to the EEOC and/or an attorney.\n. \nPS, to previous poster. It's so unusual for US employers to pay 100% of medical coverage, I'm not even going to address it. (MORE)
I just called my doctor's office to transfer my records. They said that it costs $0.5 per page for the chart and $25 for the X-rays (no matter how many). I am not sure if this was legal, but I paid anyway because I needed the records to be released today. Btw, when I was requesting records to be r…elease from another doctor, they didn't charge me anything at all. Answer Yes, it's legal - however there's a limit: the minimal amount required to duplicate and forward the records. Whatever costs incurred by the Doctor to accomplish this task (as s/he's required to maintain the original records in her/his practice for a minimum of 7 future years) of duplication and delivery (I believe up to 50 cents per page) A little more... Actually it's arguably legal. The law in this case was put in place for patients requesting their own records, in order to offset the pure cost of copying. It was never intended for a doctor-to-doctor transfer. And this charge is NOT allowed to prevent the prompt delivery of health care (which requires your chart of course) if you don't pay. Your second doctor, by not charging you, operated within accepted practices and parameters. Your first doctor is trying something new and, to my thinking, potentially unethical. If I were consulting to this doctor, I'd advise them to discontinue this practice at once. The $25 cost of transferring x-rays is marginally acceptable if your doctor actually copied and transferred film, which is in this day and age, is rare, as most medical imagery is transferred via telecommunications, CD/DVD, MO storage, etc. If this imagery went over the wire, I'd say this was malfeasant. There is, to my knowledge, law here but no precedent; it's not gone to court yet. If you object to this practice, you might consider getting a copy of HIPAA, and carrying it with you into small claims court. I think there's a good chance you'd prevail in your attempt to recover your monies. Another answer... Yes, they can. Sometimes they just charge a flat rate, other times they charge by the page. (MORE)
Answer . there are 'policy limits' and the insurance company cannot pay past these limits, need more info to be of more assistance, is this an uninsured motorist claim, or a bodily injury claim, (liablity under negli.drivers policy)?
Answer . \nYes.\n. \nFor the time and materials needed to copy and/or transcribe the records and send them to the place requested.
Answer . I'm guessing you might mean your medical records? Your insurance records would be wherever you put them. Your medical records, or records of insurance payments would be with the medical provider.
Yes, you are legally entitled to a copy of your medical records.This has just a few exceptions including if the doctor feels thatlooking at your medical records might cause you to harm yourself.If this is the reason he or she will not release the records, thedoctor must state clearly the reasoning.
This is a common plight amongst many citizens in the US. There are various agencies (local and state) that provide limited medical benefits to those who are truly 'needy' or 'homeless'. The other things to do is contact the place where the medical bills have racked up and talk to them about how y…ou might make some form of monthly payments. Might mean giving up things at home like the internet, cable tv, mobile phones and the like, but when bills start piling up, matters must be taken to pay them before we can have the other 'luxuries' of life. One needs to understand that the company the provided the medical items is also in business, and as such also has its own bills to pay, including the salaries of the medical professionals who provided the service. In addition, the medical professionals who provide the medical services have spent many long, hard, expensive years in school in order to be able to provide that medical care. Doctors spend at least 10 - 12 years in school and training, and nurses, med techs, physical therapists, etc., spend as much as 2 - 6 years in school and training to be able to provide their services. (MORE)
call the hospital or your local Circuit court if the medical records are just copies for Criminal proceedings.
Answer . Absolutely. Once they trun 18 you can drop them off your plan at any time. Legally in many states you can drop them off before 18.
You might start with your local health department and ask what records they have on file for your child.. ---. A: . I assume you are the child's legal guardian. Write a letter to the child's doctor(s), that says the following:. As I, Your full name , am legal guardian of Child's full name , I …am as of this day today's date , requesting full disclosure of child's full name 's entire Designated Record Set, as is my right under the Health Insurance Portability and Accountability Act of 1996, Administrative Simplification, Privacy Rule. Please prepare all documents forthwith, and contact me to advise when these documents will be ready. Time is of the essence.. Include the child's Social Security Number if they have one, and the child's birthdate. Also include your phone number where they can call you, and the address you'd like the record set sent to -- or tell them to hold it for pickup if you prefer. Send this registered USPS return receipt requested.. If you feel this sounds too formal, send a cover letter. . Note that if you aren't the child's legal guardian, this approach is not the way to go. (MORE)
UK Answer . The Secretary of State for Health.. ADDED: In the US the patient is the ultimate "owner" of the information. However, the medical provider or institution which produced them are the "custodians" of these records and, as such, may charge a reasonable fee to have them reproduced and fo…rwarded to the patient or his designee. (MORE)
I know your legal garduans can, but I dont know if that is it, or there are more people that can acsess that
Medical records are a complicated issue. Who owns them? The clinic or hospital that maintains the record, or the person about which the record is kept?. Most states now say the clinic or hospital owns the actual physical record, and the person owns the information. This gives you the right to see y…our records and to decide who has access to them.. In order to destroy the record a Judge would have to issue an order to the keeper of the record to expunge it. You would need a compelling reason as to why the record should be destroyed.. It is currently not legal to have a medical record destroyed without a court order. (MORE)
Perhaps, if the parent is a bona fide dependent of yours. Do you claim the parent as such on your taxes?. Best to check with the insurance carrier and your particular plan's exclusions, etc.. No, Only the following family sizes are allowed. (A) One adult (B) One adult and any children (C) Two adul…ts,and (D) Two adults and any children. I am not aware of any states that allow parents, even disabled ones, on an employees certificate of coverage. (MORE)
The health questions are asked in applications for life insurance and medical insurance. The reason for it is that insurers are required to have "underwriting guidelines". These define the types of risks that they are willing to accept. An insurer accepts a risk of paying a claim according the term…s of the policy. That is, a life insurer agrees to pay a stated amount of money upon the death of the person who is insured. A medical insurer agrees to pay all or a portion of medical expenses incurred by the person insured. In return for the agreement to pay ("to assume the risk"), the insurer collects a sum of money called a "premium". The amount of the premium has to be commensurate with the risk being assumed, and the medical questions help to determine the extent of the risk assumed. The amount of premium is determined by complex mathematical calculations done by actuaries. If an insufficient premium is charged, when extrapolated over the large number of people that the insurer insures, there may be insufficient money with which to pay all claims. (MORE)
No, not generally. Many medical records, and the notations made in medical files, are unsigned and un-witnessed. They may be introduced as EVIDENCE and used in a case but generally, in and of themselves, they are not considered "legal" documents..
A doctor does not charge for patient records, but they can charge a nominal fee for copying it to give to you. Each jurisdiction governs how much the doctor can charge for this, but it is usually pretty small. Many doctors will waive this fee if the patient asks for it, though they don't have to.
You own your own medical records, but your medical provider is allowed (in some case, required) to keep them in file. Your medical provider is allowed to charge you for the cost of duplicating and reproducing them for you if you wish them.
North Carolina General Statute Section 90-411 permits the following charges:. Search, Handling, Copying and Mailing Costs. Up to. $10.00. Certification Fee. Up to per record. $9.32. Copying Costs for Records in Paper Form. Per page for pages 1-25. $0.75. Per page for pages 26 - 100. $0.50…. Per page for pages over 100. $0.25. The HIPAA Privacy Rule prohibits the charge for Search, Retrieval and Other Direct Administrative Costs from being assessed against the patient or the patient's personal representative who requests medical records. The HIPAA prohibition does not apply to requests by other persons. The HIPAA Privacy Rule prohibits providers from charging to convert medical records into a form or format requested by the individual, if it is readily producible in such form or format, or into a readable hard copy form or other agreed upon form or format. However, if the individual wants a copy of a non-paper medical record, then a hospital may charge a reasonable, cost-based fee for copying the record, including the cost of supplies and copying labor. Where someone other than a patient or their personal representative requests records, physicians may charge a reasonable fee (currently $10.00) to search for, handle and copy requested records. However, actual mailing costs may always be charged, regardless of who the requester is. The fee constitutes a minimum charge. It does not apply when the actual copying charge exceeds the minimum. A physician may charge to prepare a health record summary. A physician or hospital may not assess a copying charge where the requester is applying for Social Security Disability or Income benefits. (MORE)
go to your family doctor and ask for permission papers to see your medical records you will have to sighn the release papers and you may have to show your identification to prove your hoever you are and if you mare under 18 you will have to have your parent with you for parent permission
All depends on the facility. Some facilities dont charge the patient it really depends on the facility. Many facilities charge a fee. It can be from 10 cents per page or just a lump sum fee. Sometimes you can get around it by either asking another doctor of yours requesting them for you depending on… what exactly it is. If you have a case then you can subpoena them and if win the case the fee will be included int here already . (MORE)
A health care provider can charge up to 75 cents per page formedical records in New York state. Whether that's called a searchfee, copy fee, or administrative fee, that's the allowable leve.
when you sign the application there is a statment or often a separate signature page that is a waiver to give them permission to access your records. so basically they have complete legal rights to obtain your records. but they are also bound by privacy laws and cant disclose this info to anyone, no…t even the agent that sold you the policy get to see the full records. (MORE)
almost always your doctor. they use a 3rd party company that contacts the doctor and pulls your medical files and gives them to the company to review. they also can run an electronic MIB report that pulls basic info such as doctor visit frequency, surgeries, major conditions, etc.
How can a patient legally get copies of their medical and legal records from several Doctors and Lawyers without paying enormous fees some times from .25 to 1.00 per page?
You can try to negotiate with the doctor/attorney for a reduced copying rate, but the law allows for them to charge for the administrative costs of supplying you with your files. After all, they may be YOUR records, but it is THEIR office staff, and their copying supplies, that are being used.
Your doctor retired and you need your medical records transferred Is it legal for the previous medical group to charge to transfer records to your new doctor?
If the records are requested by your new Medical office, they should not charge you for them.. If you are picking them up.. normally they charge a fee and something like one dollar per page. If you can, have your new Doctor request the records. They should not charge for that.
Can a physician charge you for a copy of your medical records or charge you if even if you have not paid your bill?
A physician cannot charge you to take your records from the office. Those are YOUR property and you should have them as soon as you request them. Having not paid your bill is a sort of gray area, as they are still yours, but they are a part of the service for which you are being charged, and have no…t paid for. Has your physician denied you your records? If so I would be even more likely to take them and find another physician. A physician who is keeping your records may be hiding something that you would find disagreeable. If the physician will not give them to you the best idea would be to consult a medical mal-practice lawyer. (MORE)
Yes, pursuant to Health & Safety Code section 123110, a doctor can charge 25 cents per page plus a reasonable clerical fee. For diagnostic films, such as an x-ray, MRI, CT and PET scans, you can be charged the actual cost of copying the films. This only applies if you have made a written request for… a copy of your medical records to be provided to you.. (MORE)
Yes they can be denied if they are trying to get a copy of someone else's medical records or if they don't have their social security card.
Whether release of medical information by your friend is legaldepends on the context. If your friend learned the informationwhile working in a health facility you've used, disclosure is notlegal. If your friend learned the information through conversationwith you, there's no legal remedy.
Group medical insurance rates are those which apply to policies that cover a group of persons, as distinct from individual policies. The groups that are insured generally have a common denominator, such as employment by the same employer, or membership in the same organization. Typically, since the… risk is spread over a larger number of people, the "law of large numbers" allows for lower rates and more relaxed underwriting standards than do individual health policies. It is not possible in this forum to quote specific insurance rates, as too many factors are involved that are peculiar to the group to be insured and the actuarial calculations by the insurer. (MORE)
At the clinic I work at, we have patients sign a release once a year allowing us to submit claims to their insurance company for the year. It doesn't specify which insurance company though. I would check with your clinic to see if you have signed something of the sort. And if not then it probably is… illegal for your clinic to submit a claim without your permission. (MORE)
I know from my 20+ years of medical billing, in my state of Georgia, we have the Georgia Insurance Commissioner. I'm certain all other states do as well. I have found all insurance companies are subject to rules and regulations of this office accept state aid insurance and medicare and insurance pro…vided for active military. I have called on my patients behalf and have referred patients to call also. This is an elected office and I have been fortunate to have worked with the same elected commissioner for 15 of 20 years. I have witnessed land slide cases against some of the larger insurance companies as a result of complaints from consumers and medical personnel. I have such a passion for what I do because so many consumers will accept payment denials of their claims because they believe they have no recourse. PLEASE don't be afraid to question any decision made by your medical insurance company. (MORE)
Assuming they have the proper authority to do so they can contact your medical providers directly.
Generally they would be held at the original location they were filled out at. However, if you change hospitals or doctors' office, they can transfer them to your new providers.
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I think the immediate family husband wife children not nobody that's not in the family because its confidential records Another VIew: Parents have the right to see the medical records of their minor children, but other than that, under HIPAA, even spouses do not have access to each others records… UNLESS the patient specifically allows it - in writing. The patient may grant anyone access to their records that THEY, alone, authorize. (MORE)
Yes. A group policy is not much different from an individual policy when it comes to cancellations. If the group misses payments or no longer meets the underwriting guidelines the policy can be cancelled or non renewed per local regulations and contract terms.
For the paper part of your record, just as you say -- copying is all. HIPAA requires your healthcare provider to try and provide your records to you in a format of your choosing, within reason.
The short answer is, they don't really. The physician owns the paper; the patient owns the data. It's a pretty murky area of law just now.
The cheapest medical insurance is through the government for low-wage families, otherwise it is wise to shop around for specific needs. Many insurances provided through jobs have built in discounts, and some such as TriCare, provided to military personnel, is free to military members and their imme…diate family, provided near 100% coverage for most costs. (MORE)
Individual medical insurance is available from multiple providers. Places like Aetna, Blue Cross, Anthem, and Blue Shield all off plans strictly for individuals.
There are many good medical insurance companies in the United States, such as, Blue Shield/Blue Cross, Aetna, Celtic and Health America. Medical Mutual has a high 5 star rating from the US News. It boasts of 42 plans and has been listed as one of the best health insurance companies.
Some companies that offer medical insurance for individuals include Aetna, Anthem, Humana, and Cigna. For those who qualify in the United States, the government also offers Medicare and Medicaid.
There are many companies that offer medical insurance in the UK. Some of the most popular insurance companies include 'Saga', 'Staysure', 'Bupa', 'Simplyhealh' and 'Aviva'.
There are various companies that offer discount medical insurance. Some of the companies that offer discount medical insurance are Assurant Health and AmeriPlan USA.
The following companies offer children medical insurances: Famis, AXA PPP Helthcare, Health Online, Insure Kids Now, Aviva, Bupa, April UK, Freedom Healthnet.
If a medical practice did not record charges, a number of thingsmight occur. One of them could be an audit, if a practice isn'trecording their earnings then that sort of thing would shoe up inan audit.