Common use of Inspection and Copies Clause in Contracts

Inspection and Copies. You have the right to inspect and obtain a copy of the identifiable health information that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing Compliance Officer, , J&R MEDICAL, 0000 XXXXXXXX XX., XXXXX 000 XXXXXXXX, XX in order to inspect and/or obtain a copy of your identifiable health information. Our organization may charge a fee for the costs of copying, mailing, labor, and supplies associated with your request. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Reviews will be conducted by another licensed health care professional chosen by us.

Appears in 2 contracts

Samples: Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies, Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies

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Inspection and Copies. You have the right to inspect and obtain a copy of the identifiable protected health information that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing Compliance OfficerOfficer UltraVoice, Ltd., J&R MEDICAL00 Xxxxx Xxxxxxx Xxxxxx Xxxx, 0000 XXXXXXXX XX.Xxxxx 00, XXXXX 000 XXXXXXXXXxxxxxx Xxxxxx, XX 00000 in order to inspect and/or obtain a copy of your identifiable protected health information. Our organization may charge a fee for the costs of copying, mailing, labor, and supplies associated with your request. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Reviews will be conducted by another licensed health care professional chosen by us.

Appears in 2 contracts

Samples: Customer Information Agreement, Customer Information Checklist

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Inspection and Copies. You have the right to inspect and obtain a copy of the identifiable health information that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing Compliance Officer, Wheelers Medical Supply LLC, J&R MEDICAL00000 Xxxxx Xxxx Xxx 000 X, 0000 XXXXXXXX XX., XXXXX 000 XXXXXXXXXxxxxxxxxxxx, XX 00000 in order to inspect and/or obtain a copy of your identifiable health information. Our organization may charge a fee for the costs of copying, mailing, labor, and supplies associated with your request. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Reviews will be conducted by another licensed health care professional chosen by us.

Appears in 1 contract

Samples: Authorization for Release of Information, Assignment of Benefits, Duplicate Equipment/Supplies

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