Insurance Code 10123.135(g) (1999; amended by SB 662, 2001)
Summary:
If a disability insurer requests medical information from health care service providers in order to determine whether to approve, modify, or deny requests for authorization, the insurer shall request only the information reasonably necessary to make the determination.
Parties Bound:
disability insurers Associated Federal Law(s):
Uses and disclosures of protected health information: general rules : Minimum necessary - covered entity must make reasonable efforts to limit the use/disclosure of protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request; exceptions.
Associated Federal Law(s):
Uses and disclosures to carry out treatment, payment, or health care operations
: Permitted uses and disclosures