Common use of DISCLOSURE AND CONFIDENTIALITY OF INFORMATION Clause in Contracts

DISCLOSURE AND CONFIDENTIALITY OF INFORMATION. All personal and medical records (including any personal or privileged information, medical records, patient charts, etc.) shall remain confidential. Such confidential information may be reviewed by CDN as required by its staff and Quality Assurance Committee. Such information may also be made available to the Department of Managed Health Care, the Dental Board and CDN’s legal representatives or other agencies as required by law. A Plan Member or the non-covered parent of a covered child may request access to or a copy of personal information and medical records. Written consent for release of patient information and records is required to be signed by the patient, along with the appropriate fee, as allowed by law, before any records will be released. CDN will respond to such a request within 30 days after receipt of the appropriate executed forms and fees. CDN’s confidentiality policy is available for review to all plan members upon request. A Plan Member may request to have an addendum of 250 or fewer words added to his or her medical records, in compliance with state law. This request should be made directly to the Participating Dentist who has custody of the records. Should the Participating Dentist deny Member the request to add an addendum, the Member should contact CDN for assistance. A STATEMENT DESCRIBING CDN’S POLICIES AND PROCEDURES FOR PRESERVING THE CONFIDENTIALITY OF MEDICAL RECORDS IS AVAILABLE AND WILL BE FURNISHED TO YOU UPON REQUEST.

DISCLOSURE AND CONFIDENTIALITY OF INFORMATION. All personal and medical records (including any personal or privileged information, medical records, patient charts, etc.) shall remain confidential. Such confidential information may be reviewed by CDN as required by its it’s staff and Quality Assurance Committee. Such information may also be made available to the Department of Managed Health Care, the Dental Board and CDN’s legal representatives or other agencies as required by law. A Plan Member or the non-covered parent of a covered child may request access to or a copy of personal information and medical records. Written consent for release of patient information and records is required to be signed by the patient, along with the appropriate fee, as allowed by law, before any records will be released. CDN will respond to such a request within 30 days after receipt of the appropriate executed forms and fees. CDNCalifornia Dental Network’s confidentiality policy is available for review to all plan members upon request. A Plan Member may request to have an addendum of 250 or fewer words added to his or her medical records, in compliance with state law. This request should be made directly to the Participating Dentist provider who has custody of the records. Should the Participating Dentist provider deny Member the request to add an addendum, the Member should contact CDN for assistance. A STATEMENT DESCRIBING CDN’S POLICIES AND PROCEDURES FOR PRESERVING THE CONFIDENTIALITY OF MEDICAL RECORDS IS AVAILABLE AND WILL BE FURNISHED TO YOU UPON REQUEST.