Common use of Right to Receive and Release Information Clause in Contracts

Right to Receive and Release Information. Certain facts about health care coverage and services are needed to apply Coordination of Benefit rules and to determine benefits payable under this plan and other plans. PIC may get the facts from or give them to any other organization or persons for the purpose of applying these rules and determining benefits payable under this plan and other plans covering the person claiming benefits. PIC need not tell, or get the consent of, any person to do this. Each person claiming benefits under this plan must give PIC any facts it needs to apply those rules and determine benefits payable. Release of information will comply with state and federal laws. Facility of Payment. A payment made under another plan may have included an amount that should have been paid under this plan. If it does, PIC may pay that amount to the organization that made the payment. That amount will then be treated as though it were a benefit paid under this plan. PIC will not pay that amount again. The term "payment made" includes providing benefits in the form of services. In this case "payment made" means the reasonable cash value of the benefits provided in the form of services.