Member Records. (a) HMO must comply with the requirements of state and federal laws, including the HIPAA requirements set forth in Section 7.07, regarding the transfer of Member Records.
(b) If at any time during the Contract Term this Contract is terminated, HHSC may require the transfer of Member Records, upon written notice to HMO, to another entity, as consistent with federal and state laws and applicable releases.
Member Records. (a) MCO must comply with the requirements of state and federal laws, including the HIPAA requirements set forth in Section 7.07, regarding the transfer of Member Records.
(b) If at any time during the Contract Term this Contract is terminated, HHSC may require the transfer of Member Records, upon written notice to MCO, to another entity, as consistent with federal and state laws and applicable releases.
(c) The term “Member Record” for this Section means only those administrative, enrollment, case management and other such records maintained by MCO and is not intended to include patient records maintained by participating Network Providers.
Member Records. CONTRACTOR and any subcontractor shall not transfer an identifiable Member record, including a patient record, to another entity or person without written consent from the Member or someone authorized to act on his or her behalf; however, HHSC may require CONTRACTOR, or any subcontractor, to transfer a Member record to another agency or to HHSC if the transfer is necessary to protect either the confidentiality of the record or the health and welfare of the Member. If at any time during the Initial Term, this Agreement is terminated, HHSC may require the transfer of Member records, upon written notice to CONTRACTOR, to another entity that agrees to continue performance of the Agreement, as consistent with federal and state laws and applicable releases.
Member Records. Upon request, the Member shall be given brief time prior to or during any questioning to locate and review any written or electronic documents the Member possesses regarding the event(s) being investigated in order to be fully prepared to accurately and completely respond to the questioning. The investigating officer may accompany the Member during the Member’s brief search and review of such documents.
Member Records. The CONTRACTOR must comply with the requirements of State and federal statutes, including the HIPAA requirements set forth in this Agreement, regarding the transfer of Member records. The CONTRACTOR shall have an appropriate system in effect to protect substance abuse Member records from inappropriate disclosure in accordance with 42 U.S.C. § 300x-53(b) and 45 C.F.R. § 96.13(e). If this Agreement is terminated, HCA may require the transfer of Member records, upon written notice to the CONTRACTOR, to another entity, as consistent with State and federal statutes and regulations and applicable releases.
Member Records. The MCO must comply with the requirements of State and federal laws, including the HIPAA requirements set forth in Section 6.04 (HIPAA), regarding the transfer of Member Records.
Member Records. Group and each Group Physician will prepare and maintain appropriate financial and medical records on Members. Such records will be maintained in accordance with generally accepted medical, accounting and bookkeeping practices and will be maintained as may be necessary for compliance with the provisions of the laws of Florida.
Member Records. 1. Provider and its subcontractors shall maintain and preserve individual member records in accordance with established professional and legal standards, applicable state and federal laws, rules and regulations. These records shall be accurate, legible and safeguarded against loss, destruction or unauthorized use and shall remain confidential as required by State and Federal law. Documentation in member records must reflect all aspects of care, including documentation of assistance with transitional care in the event of a disenrollment. The use or disclosure by any party of any information concerning members who receive services from Provider and/or Provider’s subcontractors for any purpose not connected with the administration of Provider’s or Purchaser’s responsibilities under this Contract is prohibited except with the informed, written consent of the member or the member’s authorized representative and only as permitted by Health Insurance Portability and Accountability Act and all other applicable state and federal law. Members have the right to approve or refuse the release of personally identifiable information, except when such release is authorized by law.
2. Members shall have access to their records in accordance with State and Federal law. Provider agrees to make records available to members and their authorized representatives within ten (10) business days of the record request if the records are maintained on site and sixty (60) calendar days if maintained off site in accordance with the standards in 45 CFR 164.524 (b)(2).
3. Provider agrees to forward records relating to grievances and appeals to Purchaser within fifteen (15) business days of the Purchaser’s request or, immediately, if the appeal is expedited. If the Provider does not meet the fifteen (15) business day requirement, the Provider must explain why and indicate when the records will be provided.
4. Member records shall be readily available for quality management (QM) and utilization review activities. The member records shall provide adequate medical and long term care service information, and other clinical data needed for QM and utilization review purposes, and for investigating member appeals and grievances.
5. Provider and its subcontractors shall implement specific procedures to assure the confidentiality of health and medical records and of other personal information about members including:
a. Members have the right to approve or refuse the release of personally identifia...
Member Records. Participant shall maintain detailed and accurate records of all services performed for and all products sold or supplied to Members. Participant shall ensure the confidentiality of such records and shall release such information only in accordance with state and federal law, or as required to fulfill its obligations under this Agreement. Where applicable, Participant shall certify to their best knowledge, information, and belief, as to the accuracy, completeness, and truthfulness of encounter data pertaining to Covered Services provided to Members.
Member Records. LAW FIRM acknowledges that when performing under this Agreement, LAW FIRM may be exposed to Member Records and that such Member Records are considered confidential and protected from public disclosure by law. LAW FIRM will maintain the confidentiality of all Member Records according to all applicable federal, state, county and local laws, regulations, ordinances and directives relating to confidentiality.
