Medical Records/Privacy, and Correcting Misdiagnosis in Record

[wmedi]

What is the name of your state? Florida

I have recently had challenges in clarifying my medical records and more specifically, the doctor's notes. My question is two-fold:

1) Are doctors required to send personal notes and conversation notes about conditions to insurance companies when someone is applying for coverage?

2) If there are inaccuracies in the medical records (ie doctor misunderstood the presentation of past history and lists items inaccurately in the notes), can these records be altered?

Any help with either of these items would be greatly appreciated.

wmedi

 

[ellencee]

1) Are doctors required to send personal notes and conversation notes about conditions to insurance companies when someone is applying for coverage?

Possibly; it depends on what information the insurance company considers necessary information.

2) If there are inaccuracies in the medical records (ie doctor misunderstood the presentation of past history and lists items inaccurately in the notes), can these records be altered?

No; you have the right to request that the records include a revision or correction. You do not have the right to be granted a revision or correction. The physician's impression of what was discussed is relevant, even if the physician misuderstood the presentation. His documentation is accurate if it states his understanding (at the time) of the past history. You have the right to provide the insurance company with proof of the correct information.

EC

 

[cbg]

wmedi, please forgive me for interrupting your thread, but Ellencee, when you get a minute there's a couple of questions we could use your help with on the workers comp board.

 

[Hisbabygirl77]

I just wanted to add if your insurance request they will need a signed release of information from you stating that you give the dr permission to send those records.... Just remember though if you refuse to sign it the insurance can choose not to cover the costs in some instances.