Common Contracts
2 similar Confidentiality Agreement and Release contracts
CONFIDENTIALITY AGREEMENT AND RELEASE FOR CLAIM HISTORYConfidentiality Agreement and Release • November 9th, 2015
The purpose of the Confidentiality Agreement and Release of Claim History Form is to comply with a directive from the Missouri Medical Malpractice Joint Underwriting Association (MMMJUA) that a request for release of information be HIPAA compliant regarding the confidentiality of protected health information such as may be found in a claims history. In addition the MMMJUA and its representatives should be indemnified in writing regarding the accuracy and completeness of the information they release. Most third party releases signed by physicians or risk managers do not specifically indemnify the MMMJUA and its representatives in this regard.
CONFIDENTIALITY AGREEMENT AND RELEASE FOR CLAIM HISTORYConfidentiality Agreement and Release • November 9th, 2015
The purpose of the Confidentiality Agreement and Release of Claim History Form is to comply with a directive from the Missouri Medical Malpractice Joint Underwriting Association (MMMJUA) that a request for release of information be HIPAA compliant regarding the confidentiality of protected health information such as may be found in a claims history. In addition the MMMJUA and its representatives should be indemnified in writing regarding the accuracy and completeness of the information they release. Most third party releases signed by physicians or risk managers do not specifically indemnify the MMMJUA and its representatives in this regard.
