Investigative consumer reporting agency shall not furnish report to employer, court, insurance, or landlord if it includes medical information unless consumer consents.
Support orders issued or modified shall include a provision requiring the child support obligor to keep the agency informed of whether the obligor has health insurance coverage and, if so, the health insurance policy information. The court shall require that health insurance coverage for a supported child shall be maintained by either or both parents if that insurance is available at no cost or at a reasonable cost to the parent.
When in possession of the local agency, applications, claims and individual records of persons entitled to local government group insurance benefits shall confidential and may not be disclosed to anyone except to the extent expressly authorized in such application, claims, policies or plans or by court order
If the director determines there is good cause to do so, the Department of Social Services must conduct additional visits to the prepaid health plan site to make observations.
In order to obtain and maintain a registration, in-state or out-of-state telephone medical advice services shall comply with the requirements established by the Department of Consumer Affairs. The service providers must maintain records of telephone medical advice services provided to California patients [e.g. oral or written transcripts of all medical advice conversations with the health care service plan's enrollees or subscribers in California] and records of complaints, for at least five years.
Upon receipt of information and documents related to a case, the medical professional reviewer or reviewers selected to conduct the review by the independent medical review organization shall promptly review all pertinent medical records of the insured, provider reports, as well as any other information submitted to the organization as authorized by the department or requested from any of the parties to the dispute by the reviewers. If reviewers request information from any of the parties, a copy of the request and the response shall be provided to all of the parties.
A Medicare Select issuer shall have and use procedures for hearing complaints and resolving written appeals and grievances from the insureds. The issuer shall maintain records of each appeal or grievance for at least five years.
A Medicare Select issuer shall comply with reasonable requests for data made by state or federal agencies, including the United States Department of Health and Human Services for the purpose of evaluating the Medicare Select program.
Under the Independent Medical Review System in the Department of Insurance, all insured grievances involving a disputed health care service are eligible for review if certain requirements are met. Application forms for independent medical review will include a statement indicating the insured's consent to obtain any necessary medical records from the insurer and any of its providers.
