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

Right to Receive and Release Needed Information. Certain facts about health care coverage and services are needed to apply these COB rules and to determine benefits payable under This Coverage and other Plans. Keystone may obtain and use the facts it needs to apply these rules and determine benefits payable under This Coverage and other Plans covering the Member claiming benefits. Keystone need not tell, or get the consent of, the Member or any other person to coordinate benefits. Each Member claiming benefits under This Coverage must give Keystone any facts needed to apply those rules and determine benefits payable. Failure to complete any forms required by Keystone may result in claims being denied. Facility of Payment A payment made under another Plan may include an amount that should have been paid under This Coverage. If it does, Keystone may pay that amount to the organization that made the payment. That amount is treated as though it is a benefit paid under This Coverage. Keystone will not pay that amount again. The term “payment made” includes providing benefits in the form of services, in which case “payment made” means the reasonable cash value of the benefits provided in the form of services.