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Authorization to Disclose Protected Health Information Use This Form to Authorize Tufts Health Plan* to Use or Disclose Your Pro
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People also ask
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What authorization is defined as an authorization for use or disclosure of patient specific health information that has been combined with any other document?
Authorization for use or disclosure of patient-specific health information that has been combined with any other document is called a(n) compound authorization.
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What are the authorization requirements for use and disclosure of protected health information?
Under the Privacy Rule, a covered entity may use or disclose protected health information pursuant to a copy of a valid and signed Authorization, including a copy that is received by facsimile or electronically transmitted.
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How is authorization defined in healthcare?
Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.
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Can protected health information only be used accessed or disclosed after obtaining written authorization?
A covered entity may not use or disclose protected health information, except either: (1) as the Privacy Rule permits or requires; or (2) as the individual who is the subject of the information (or the individual's personal representative) authorizes in writing.
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Does Tufts HMO require prior authorization?
Authorization for certain services, drugs, devices and equipment is based on Tufts Health Public Plans medical necessity guidelines (MNGs) or InterQual® criteria. Any request for services provided by out-of-network (OON) providers requires prior authorization.
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What is an authorization to use or disclose protected health information?
A Privacy Rule Authorization is an individual's signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the Authorization for the purpose(s) and to the recipient(s) stated in the Authorization.
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