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I'm requesting to download care coordination files on behalf with the Clinical Group that I/we characterize as well as the affiliated groups and entities. Also, I understand the files that I am requesting to download consist of Shielded Health Information ("PHI"), and that need to be safeguarded and only produced available to affiliated Included Entities for health care operational needs in line with 45 C.
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Statutory Recognize to Members: The components provided to you will be guidelines utilized by this decide to authorize, modify or deny take care of individuals with similar ailments or conditions. Particular treatment and treatment method may perhaps fluctuate according to particular person have to have as well as the benefits included under your contract. The dedication of protection for a specific course of action, drug, service, or offer will not be based on the Policies, but alternatively is matter into the details of the person clinical situation, terms and conditions of your Member's contract, and needs of applicable legislation and polices.
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