Common use of Act 68 Member Records and Access to Records Clause in Contracts

Act 68 Member Records and Access to Records. Preferred Provider will maintain medical records in accordance with all requirements set by Blue Shield, and shall permit Blue Shield and Official Bodies, access to records for the purpose of quality assurance, investigation of complaints or grievances, enforcement or other activities related to compliance with Act 68, the regulations of the DOH adopted thereunder, and other Pennsylvania Laws, provided, however, that records shall only be accessible to Blue Shield and Official Bodies’ employees or agents with direct responsibilities for the functions enumerated above.

Act 68 Member Records and Access to Records. Preferred Government Sponsored Programs Provider will maintain medical records in accordance with all requirements set by Blue Shield, and shall permit Blue Shield and Official Bodies, access to records for the purpose of quality assurance, investigation of complaints or grievances, enforcement or other activities related to compliance with Act 68, the regulations of the DOH adopted thereunder, and other Pennsylvania Laws, provided, however, that records shall only be accessible to Blue Shield and Official Bodies’ employees or agents with direct responsibilities for the functions enumerated above.