This form is used to certify that records submitted are true and correct and kept in the normal course of business.
Colorado Certificate for Custodian of Records - Billing Records Included
State:
Multi-State
Control #:
US-PI-0242
Format:
Word;
Rich Text
Instant download
Description
How to fill out Certificate For Custodian Of Records - Billing Records Included?
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FAQ
Generally, your health care provider must give you a copy in the format that you request if they are able to do so. Your provider may charge you a fee to get a copy of your record.
You, the patient, or your authorized representative with authority over your health care matters, will have to sign a written request for your medical records. Your hospital or doctor's office likely has a form, like this one.
You may request the form from your nurse, download the Authorization to Release Patient Health Information form from our website, or contact the medical records department directly at 303-602?8000. For faxes please use 303-602?8004.
care facility shall not charge a fee for the inspection of medical records.
The Medical Board of Colorado recommends retaining all patient records for a minimum of seven years after the last date of treatment.
Discretionary exemptions include: Records of investigations conducted by any sheriff, prosecuting attorney or police department; records of the intelligence information or security procedures of these same officials; any investigatory files compiled for any other law enforcement purpose.
Colorado law establishes the following reasonable fees that a health care facility may charge a third party. The fees may not exceed the following: For the first ten pages: $18.53. For the next thirty pages (pages 11 through 40): 85 cents per page.
