Common use of Uses and Disclosures Requiring Authorization Clause in Contracts

Uses and Disclosures Requiring Authorization. We may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are asked for information for purposes outside of treatment, payment and health care operations, we will obtain an authorization from you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Appears in 4 contracts

Samples: Informed Consent and Fee Agreement, Informed Consent and Fee Agreement, Informed Consent and Fee Agreement

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Uses and Disclosures Requiring Authorization. We I may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate appropri- ate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are I am asked for information for purposes outside of treatmenttreat- ment, payment and health care operations, we I will obtain an authorization from for you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we I have relied on that authorization; or (2) if the authorization was obtained ob- tained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Appears in 3 contracts

Samples: Agreement for Psychological Services, Agreement for Psychological Services, Agreement for Psychological Services

Uses and Disclosures Requiring Authorization. We may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are asked for information for purposes outside of treatment, payment and health care operations, we will obtain an authorization from you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.. Uses and Disclosures with Neither Consent nor Authorization We may use or disclose PHI without your consent or authorization in the following circumstances:

Appears in 1 contract

Samples: Informed Consent Notice and Fee and Payment Agreement

Uses and Disclosures Requiring Authorization. We I may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are I am asked for information for purposes outside of treatment, payment and health care healthcare operations, we I will obtain an authorization from you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we I have relied on that authorization; authorization or (2) if the authorization was obtained as a condition of obtaining insurance coverage, coverage and the law provides the insurer the right to contest the claim under the policy.

Appears in 1 contract

Samples: Client Services Agreement

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Uses and Disclosures Requiring Authorization. We may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are asked for information for purposes outside of treatment, payment payment, and health care operations, we will obtain an authorization from you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Appears in 1 contract

Samples: Informed Consent and Fee Agreement

Uses and Disclosures Requiring Authorization. We I may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are I am asked for information for purposes outside of treatment, payment and health care operations, we I will obtain an authorization from you before releasing this information. You may revoke all such authorizations (of PHI) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we I have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Appears in 1 contract

Samples: Psychologist Client Services Agreement

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