Common use of Disclosure Authorization Clause in Contracts

Disclosure Authorization. If you file a claim for benefits, it will be necessary that you authorize any Dentist, insurance carrier, or other entity to furnish BCBSTX all information and records or copies of records relating to the diagnosis, treatment, or care of any individual included under your coverage. If you file claims for benefits, you and your Dependents will be considered to have waived all requirements forbidding the disclosure of this information and records.

Appears in 2 contracts

Sources: Certificate of Coverage, Certificate of Coverage

Disclosure Authorization. If you You file a claim for benefits, it will be necessary that you You authorize any Dentist, insurance carrier, or other entity to furnish BCBSTX all information and records or copies of records relating to the diagnosis, treatment, or care of any individual included under your Your coverage. If you You file claims for benefits, you You and your Your Dependents will be considered to have waived all requirements forbidding the disclosure of this information and records.

Appears in 2 contracts

Sources: Certificate of Coverage, Certificate of Coverage