New Mexico Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint)

• Category: New Mexico Workers Compensation - Official - Mandatory
• State: New Mexico
• Control #: NM-SKU-1519
• Format: Word

Description

Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint) New Mexico Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint) is a form that is used to allow authorized personnel to access, provide, use, or disclose protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). This form contains specific information, such as the patient's name, date of birth, Social Security number, and other identifying information, as well as any insurance policy information that is necessary to process and file workers' compensation claims. The form must be signed by the patient or their legal representative in order to be considered valid. There are two types of New Mexico Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint): the short-form authorization and the long-form authorization. The short-form authorization is used for simple requests that do not require a more detailed explanation of the PHI being requested. The long-form authorization is used for more complex requests and provides more detailed information about the PHI being requested.

New Mexico Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint) is a form that is used to allow authorized personnel to access, provide, use, or disclose protected health information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). This form contains specific information, such as the patient's name, date of birth, Social Security number, and other identifying information, as well as any insurance policy information that is necessary to process and file workers' compensation claims. The form must be signed by the patient or their legal representative in order to be considered valid. There are two types of New Mexico Workers Authorization For Disclosure of Protected Health Information For WC Purposes (HIPAA Complaint): the short-form authorization and the long-form authorization. The short-form authorization is used for simple requests that do not require a more detailed explanation of the PHI being requested. The long-form authorization is used for more complex requests and provides more detailed information about the PHI being requested.