Law &. Ethics for Medical Careers 5th Edition by Karen Judson,Carlene Harrison

Exercise 36

Use your critical-thinking skills to answer the questions that follow each of the case studies.
When Ruth applied for health insurance, she listed a colonoscopy examination as part of her medical history. The insurance company asked for more information. Ruth requested, in writing, that the clinic where she had been examined send only the colonoscopy records to her insurance company. In addition to the requested information on her colonoscopy, the clinic sent all of Ruth's medical records for the past five years, which included the diagnoses of fibrocystic breast disease and obesity. As a result, the insurance company issued Ruth a policy, but attached riders stipulating that it would not pay for any illnesses arising from the fibrocystic breast disease or obesity.
Ruth complained to the clinic administrator, explaining that she had requested that only those records concerning her colonoscopy be forwarded to the insurance company. The administrator apologized and assured Ruth that the clinic's policy concerning release of medical records would be reviewed. He also told Ruth that should she ever incur medical expenses for those conditions excepted in her insurance policy, she should contact him.
What would you do, in the clinic administrator's place, to rectify the situation and make sure that similar problems did not arise in the future?
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