Is it legal for an insurance adjuster to...

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PostPosted: Tue May 19, 2009 11:24 pm   Post subject: Is it legal for an insurance adjuster to...  

call and talk to my massage therapist? I did sign a medical realease form, but does that give them permission to actually speak to and question my medical providers? I am in Colorado and do not have an attorney yet.
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PostPosted: Wed May 20, 2009 2:22 am   Post subject:   

From what I heard yes they have the right to get information from your medical providers as to course of treatment and the medical providers recommendations. If they are paying the bills under a no fault insurance claim they are obviously going to want to know what they are paying for.
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PostPosted: Wed May 20, 2009 4:51 am   Post subject:   

Im not sure about there but in Texas yes if you didnt provide receipts then yes as an adjuster he or she could call them but I would say only to confirm that it was for injuries related to the incident and or the time started and cost basically the usual info but could not pry into your medical file.
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PostPosted: Wed May 20, 2009 9:04 am   Post subject:   

Quote:
I did sign a medical realease form, but does that give them permission to actually speak to and question my medical providers?


Otherwise, how would they get the details?

The insurers can't access your medical reports without the signed medical authorization from since it'd violate HIPAA. But once they are given the authorization they can go to any extent and dig out any information.

In a word, there are both pros and cons in signing the med authorization.

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PostPosted: Wed May 20, 2009 9:13 am   Post subject: insurance  

With a Medical Release form, signed by you, you had 'broken' any form of HIPAA reguarding yourself.......hope this makes sense. Since that was done, there is no 'limit' in which they can "pry."
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PostPosted: Wed May 20, 2009 11:42 am   Post subject:   

Quote:
I did sign a medical realease form, but does that give them permission to actually speak to and question my medical providers?
yep, what is your problem with that?
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PostPosted: Wed May 20, 2009 3:38 pm   Post subject:   

Although they are are liable to get the information, they are also bound -not to disclose any of the information to third person, if there are any abormalities in reports. Also, generally your history of medical treatments are input for them to decide on insurance premiums. And at the sole discretion of the insurer, they can validate the information supplied at any time.
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