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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077 Exercise 1
Handling Authorizations
Angelo Diaz signed the authorization form on page 70. When his insurance company called for an explanation of a reported procedure that Dr. Handlesman performed to treat a stomach ulcer, George Welofar, the clinic's registered nurse, released copies of his complete file. On reviewing Mr. Diaz's history of treatment for alcohol abuse, the insurance company refused to pay the claim, stating that Mr. Diaz's alcoholism had caused the condition. Mr. Diaz complained to the practice manager about the situation.
Should the information have been released?
Angelo Diaz signed the authorization form on page 70. When his insurance company called for an explanation of a reported procedure that Dr. Handlesman performed to treat a stomach ulcer, George Welofar, the clinic's registered nurse, released copies of his complete file. On reviewing Mr. Diaz's history of treatment for alcohol abuse, the insurance company refused to pay the claim, stating that Mr. Diaz's alcoholism had caused the condition. Mr. Diaz complained to the practice manager about the situation.
Should the information have been released?
Explanation
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Based on the release form, the...
Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
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