Epstein Index›Documents›EFTA00313611
⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00313611: Holder and Professional (DS9)

General DocumentDate unavailableEFTA003136111 keyword hits
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Medical authorization document containing standard language regarding release of medical and other information to insurers, credit agencies, the Social Security Administration, and Centers for Medicare and Medicaid. The document references Mount Sinai Health System facilities and professional fees, and includes authorization for information holders to release records as needed for payment purposes.

👤 Named in This Document
🔑 Evidence Keywords

📋 Key Excerpts3

PersonKeyword
Excerpt 1
examination and copying in either hard copy or digital format) to insurers, agency). various credit agencies and guarantors solely if needed for payment of the **professional**
Excerpt 2
facilities in the Mount Sinai Health System for so-called "facilities" or "technical" fees will be sent separately from the Physicians bills for their "**professional**
Excerpt 3
I authorize any **holder** of medical. or other information about me to release to the Social Security Administration and Centers for Medicare and Medicaid

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