Epstein Index›Documents›EFTA00313612
⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00313612: Holder (DS9)

General DocumentDate unavailableEFTA003136121 keyword hits
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This document is a medical information authorization form authorizing the release of medical records to an insurance company and the Centers for Medicare & Medicaid Services (CMS) to determine benefits payable for related services. The form grants permission for any holder of medical information to release such information to specified parties.

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🔑 Evidence Keywords

📋 Key Excerpts2

PersonKeyword
Excerpt 1
I also authorize any **holder** of medical information about me to be released to my insurance company (or its agent) concerning health care, advice, treatment
Excerpt 2
I authorize any **holder** of medical information about me to release it to the CMS (and its agents) to determine the benefits payable for related services

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