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Comprehensive Guide to HIPAA Authorization as Part of Estate Planning

A HIPAA Authorization is an important estate planning document that allows your designated person to obtain your protected health information from medical providers. For residents of La Crescenta-Montrose and surrounding areas, having a clear HIPAA Authorization is an essential step in ensuring that family members or trusted agents can access medical records when decisions about care and treatment arise. This page explains what a HIPAA Authorization does, how it interacts with other estate planning documents like an advance health care directive and powers of attorney, and why it is beneficial to include it in a comprehensive estate plan.

At the Law Offices of Robert P. Bergman we help clients consider how a HIPAA Authorization fits within a full set of estate planning documents, including revocable living trusts, pour-over wills, and powers of attorney. A properly drafted HIPAA Authorization complements health care directives and financial documents by granting legal access to medical records and information that may be needed for caregiving and decision-making. This overview outlines common scenarios, drafting considerations, and practical tips to avoid delays in accessing vital medical information when it is needed most.

Why a HIPAA Authorization Matters in Your Estate Plan

Having a HIPAA Authorization in place provides clarity and legal permission for trusted individuals to receive protected health information from medical providers. Without it, family members and agents named in other documents may face delays or denials when seeking records needed to coordinate care, handle claims, or make informed decisions. A HIPAA Authorization protects privacy while creating a lawful pathway for communication between health care professionals and your designated representative, helping families act quickly and confidently during medical emergencies or ongoing care situations.

About Law Offices of Robert P. Bergman and Our Estate Planning Approach

The Law Offices of Robert P. Bergman provides estate planning services tailored to the needs of California residents. Our practice focuses on clear document drafting, responsive client communication, and practical solutions that connect medical decision-making with financial and trust planning. We assist clients with creating HIPAA Authorizations that work in tandem with revocable living trusts, advance health care directives, and powers of attorney, and we guide families through the procedural steps needed to ensure access to records when the situation demands. We emphasize careful planning and thoughtful coordination of documents to reduce stress for loved ones.

Understanding HIPAA Authorization: Purpose and Scope

A HIPAA Authorization is a written document that allows designated persons to receive and review protected health information from healthcare providers. It serves a specific purpose distinct from other estate planning instruments by focusing solely on permitted access to medical records and communications. Drafting a HIPAA Authorization requires attention to the scope of access, duration, and any limitations you wish to place on disclosure. The document should clearly identify the people allowed to receive information and specify what types of records or communications are covered under the authorization.

When included in an estate plan, a HIPAA Authorization usually works alongside an advance health care directive and a financial power of attorney. While the health care directive outlines treatment preferences and designates a health care agent to make decisions, the HIPAA Authorization ensures that the agent or other named persons can obtain the medical records needed to make informed choices. Proper coordination among these documents helps avoid conflicts and reduces the likelihood of administrative obstacles when providers require written permission to release records.

What a HIPAA Authorization Actually Authorizes

A HIPAA Authorization provides legal permission for a health care provider to disclose protected health information to specified individuals or entities. This typically covers medical charts, test results, treatment notes, and other clinical records. The authorization can be narrowly tailored to particular providers, types of records, or time periods, or it can be broader to allow comprehensive access for an agent handling ongoing care. The document should also state any expiration conditions, revocation rights, and how the authorization interacts with state and federal privacy rules to ensure that designated parties can receive necessary information promptly.

Key Elements and Practical Steps for a HIPAA Authorization

A valid HIPAA Authorization includes specific elements such as the name of the person or organization permitted to receive information, a description of the information covered, and the purpose of the disclosure. It will indicate expiration terms and provide a signature and date. Practically, after signing, copies should be provided to primary health care providers, included with other estate planning documents, and kept in a secure yet accessible place. Periodic review ensures that the authorization reflects current wishes and that designated individuals remain appropriate choices to receive sensitive medical information.

Key Terms and Glossary for HIPAA and Estate Planning

Understanding the language used in HIPAA Authorizations and related estate planning documents helps people make informed choices. Terms such as protected health information, health care agent, advance health care directive, and revocation are important to know. This glossary provides straightforward definitions and context so that you can recognize the implications of each term when reviewing or signing documents. Clear definitions reduce confusion and help families coordinate medical access with other estate planning instruments like trusts and powers of attorney.

Protected Health Information (PHI)

Protected health information refers to individually identifiable medical information maintained by health care providers, health plans, or health care clearinghouses. PHI includes records of diagnosis, treatment, medical tests, medication information, and billing data connected to care. A HIPAA Authorization permits specific parties to access PHI in defined circumstances. Knowing what PHI covers allows you to tailor an authorization to include or exclude certain types of records, ensuring that those you name can obtain the information necessary to support medical decision-making or claims handling while maintaining privacy where you prefer.

Advance Health Care Directive

An advance health care directive is a legal document that sets out your medical preferences and names an agent to make health care decisions if you cannot speak for yourself. While the directive states wishes about life-sustaining treatment and other care choices, it does not automatically grant access to medical records. A HIPAA Authorization complements the directive by allowing the agent or other named individuals to obtain medical information needed to carry out those instructions effectively. Together they create a functional framework for decision-making and information flow.

Health Care Agent

A health care agent is the person designated in an advance health care directive to make health care decisions on your behalf if you are unable to do so. The agent’s role includes communicating with providers, weighing treatment options, and following the principal’s stated preferences. For the agent to access necessary medical records, a HIPAA Authorization should be in place. The authorization clarifies who can receive PHI, which supports the agent’s capacity to act in alignment with the principal’s wishes and to coordinate care with family members and medical professionals.

Revocation and Duration

Revocation and duration describe how long a HIPAA Authorization remains effective and how it can be terminated. An authorization may be written to expire on a specific date, upon occurrence of a particular event, or to remain in effect until revoked. Revocation generally must be made in writing and provided to the relevant health care providers. Understanding these terms helps you control the window of access to medical information and ensures the authorization aligns with changing circumstances, such as changes in relationships, health status, or care arrangements.

Comparing HIPAA Authorization with Other Estate Planning Options

A HIPAA Authorization is distinct from other estate planning tools because it specifically addresses access to medical records, whereas documents like trusts, wills, and powers of attorney handle asset distribution and decision-making authority. The HIPAA Authorization does not substitute for a health care directive or power of attorney, but it complements them by enabling information flow. Evaluating which documents you need depends on your goals: if you want someone to make health care choices, a directive and agent designation are appropriate, and a HIPAA Authorization will ensure that agent can obtain the records required to make informed decisions.

When a Narrow HIPAA Authorization May Be Appropriate:

Short-Term Medical Needs or Specific Records

A limited HIPAA Authorization is often sufficient when you need to permit access to particular records or for a defined period. For example, allowing a family member to receive records related to a single hospitalization, a discrete treatment episode, or a specific test can be appropriate when broader ongoing access is unnecessary. This approach reduces the scope of disclosure while still enabling necessary coordination between a provider and the person handling that discrete medical matter. It is appropriate when there is no intention to grant long-term access to comprehensive medical histories.

Temporary Care or Short-Term Transitions

Limited authorizations suit temporary caregiving situations, such as a short-term recovery period after surgery or when a person is traveling and needs someone else to manage appointments and records for a few weeks. In such scenarios, a narrowly tailored HIPAA Authorization can be easier to manage and revoke once circumstances change. This targeted permission provides necessary access while maintaining overall privacy, and it can be replaced or expanded later if long-term access becomes necessary, making it a flexible choice for evolving needs.

When a Broader HIPAA Authorization and Integrated Planning Make Sense:

Long-Term Care or Chronic Health Conditions

Comprehensive planning, including a broader HIPAA Authorization, is often warranted when someone faces ongoing medical needs or chronic conditions that require regular access to medical information. In these situations, an agent or caregiver will need continuous access to records to coordinate appointments, review test results, and manage treatment plans. A broad HIPAA Authorization combined with a health care directive and appropriate trust and financial paperwork ensures seamless communication among providers, family members, and decision-makers, reducing administrative hurdles during long-term care.

Coordinating Care Across Multiple Providers and Systems

When health care is delivered across multiple providers, facilities, and specialists, a comprehensive HIPAA Authorization enables a central agent to request records from all relevant sources. This centralized access supports continuity of care by allowing a designated person to gather test results, medication histories, and provider notes to inform decisions and avoid gaps in treatment. Integrating this authorization with estate planning documents and trust-related instruments helps families manage both medical and financial affairs in a coordinated way as health needs evolve over time.

Benefits of Including a HIPAA Authorization in Comprehensive Estate Planning

Including a HIPAA Authorization as part of a full estate plan offers numerous practical benefits, such as timely access to medical records for appointed decision-makers and smoother coordination with health care providers. This reduces delays in treatment decisions and helps family members act in accordance with the principal’s wishes. When combined with documents like advance health care directives and powers of attorney, the authorization strengthens the overall plan by aligning information access with decision-making authority, which can reduce disputes and administrative friction during stressful times.

A comprehensive approach also helps preserve privacy while providing necessary access, because you can limit the scope and duration of the authorization or specify particular providers. Clear instructions and well-communicated documents help medical staff know who is authorized to discuss treatment and receive records. Storing copies with trusted providers and giving copies to designated individuals reduces the risk that access will be denied when it is needed, making day-to-day care and emergency decisions easier for loved ones and caregivers.

Improved Coordination Between Medical and Legal Decisions

When a HIPAA Authorization is coordinated with other estate planning documents, decision-makers can obtain the medical information necessary to align treatment choices with the principal’s expressed preferences. This coordination helps avoid conflicts between medical recommendations and the individual’s stated wishes, streamlining communication between clinicians and family members. By clarifying who can receive records and why, families can ensure that legal decisions regarding care and health-related financial matters are based on complete and accurate information available from health care providers.

Reduced Administrative Delays and Fewer Access Obstacles

A properly prepared HIPAA Authorization can significantly reduce the administrative burdens that often delay access to records, such as repeated verification steps or denials based on privacy concerns. When providers have a clear, signed authorization on file, they can release information to authorized parties without unnecessary barriers. This can be especially valuable in emergencies or when timely access to medical histories, test results, and treatment notes affects the decisions family members and agents must make on behalf of the principal.

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Practical Tips for Managing a HIPAA Authorization

Share Copies with Key Providers and Agents

After signing a HIPAA Authorization, provide copies to your primary care physician, specialists, hospital where care is likely to occur, and the person or persons you have authorized. Keeping hard copies and electronic copies with trusted contacts reduces the chance of delays when records are needed. Make sure the individuals named on the authorization know where copies are stored and how to present the document when requesting records. Clear communication helps ensure providers recognize the authorization and can act quickly to release information.

Coordinate the Authorization with Other Documents

Coordinate your HIPAA Authorization with an advance health care directive and any powers of attorney so that the individuals who make decisions can also obtain necessary medical information. Review all documents together to confirm consistency in agent designations, effective dates, and any limitations. This avoids contradictory instructions and reduces confusion for providers and family members. Periodic review is important to reflect changes in relationships, health status, or preferences, and to ensure the documents remain aligned with current wishes.

Keep Records Updated and Consider Expiration Terms

When creating a HIPAA Authorization, consider including an appropriate expiration term or an event-based termination to reflect your preferences about duration. Keep the authorization updated to reflect changes in providers, agents, or health circumstances. Notify health care providers when you revoke or change the authorization to prevent unintended disclosures. Regular review ensures that the authorization remains effective and that those you have named continue to be the right individuals to access your medical information when necessary.

Reasons to Include a HIPAA Authorization in Your Estate Plan

Including a HIPAA Authorization ensures that the people you trust have legal permission to receive medical information needed to make timely decisions. Whether coordinating care after a hospitalization, managing ongoing treatment for a chronic condition, or handling insurance claims, access to records is often necessary. Without the authorization, privacy laws may prevent providers from sharing information even with close family members. An authorization prevents unnecessary delays by explicitly authorizing disclosure to named persons in accordance with your instructions and timeline.

A HIPAA Authorization also helps align information flow with your broader estate planning goals, allowing agents or family members to act based on accurate clinical information. Including this document can prevent conflicts between providers and families, reduce administrative hurdles, and support continuity of care. Thoughtful planning about who receives records, the scope of information, and the duration of access can protect privacy while enabling necessary communication to protect health and financial well-being during medical events.

Common Situations Where a HIPAA Authorization Is Useful

A HIPAA Authorization is especially useful in circumstances such as hospital admissions, long-term care arrangements, when managing complex medical treatments, or when an agent must interact with health insurers on claims. It is also helpful during transitions between care settings or when coordinating care among multiple specialists. In situations where individuals become temporarily or permanently unable to manage their medical affairs, an authorization ensures designated parties can collect records and communicate with providers to support decision-making and ongoing care coordination.

Hospitalization and Emergency Care Access

During hospitalization or emergency care, quick access to prior medical history and test results can be essential for treatment decisions. A HIPAA Authorization allows named persons to obtain and share relevant records with treating clinicians, helping to reduce delays and prevent unnecessary duplication of tests. Ensuring that an authorization is available and that key individuals know how to present it can make a meaningful difference when time-sensitive medical decisions are required, and it provides a clear path for family members to support the patient’s care.

Ongoing Care for Chronic Conditions

For individuals with chronic health conditions, continuity of information across providers is important for effective management. A HIPAA Authorization allows an appointed person to collect medical records, review treatment histories, and coordinate appointments with specialists. This access assists in tracking medication histories, monitoring lab results, and ensuring treatment plans are followed consistently. It also supports communication between different providers to create a more cohesive approach to long-term care and reduces the administrative burden on family members who manage medical needs.

Insurance and Benefits Coordination

A HIPAA Authorization can facilitate the handling of insurance claims and benefits when an individual cannot manage these tasks themselves. Authorized persons can obtain medical records or summaries needed for claim submissions, appeals, or eligibility disputes. Access to timely documentation helps resolve billing questions, supports appeals processes, and ensures benefits are applied correctly. By enabling designated people to work with providers and insurers, a HIPAA Authorization streamlines administrative tasks related to medical costs and coverage.

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Local Guidance for HIPAA Authorization in La Crescenta-Montrose

If you live in La Crescenta-Montrose or nearby communities, having a HIPAA Authorization as part of your estate plan can simplify future medical decision-making and record access. The Law Offices of Robert P. Bergman can help you determine how an authorization should be drafted to fit your needs and how it should coordinate with other estate documents. We recommend keeping copies with primary providers, informing designated individuals, and reviewing the document periodically. Clear planning helps reduce stress for loved ones when time-sensitive medical issues arise.

Why Choose Our Firm for HIPAA Authorization Planning

The Law Offices of Robert P. Bergman assists clients with preparing HIPAA Authorizations that align with other estate planning documents, including revocable living trusts, advance health care directives, and powers of attorney. We focus on drafting clear, enforceable authorizations that reflect your preferences for who may access medical records and under what conditions. Our approach emphasizes practical document coordination so that agents and family members can obtain records without unnecessary delay while maintaining control over privacy and scope of disclosure.

We work with clients to address common concerns such as expiration terms, revocation procedures, and provider notification. The process involves reviewing your existing documents, discussing likely scenarios where access will be needed, and preparing an authorization that meets your needs. We also suggest best practices for distribution and storage of signed copies so that providers and designated individuals have the documentation they need when medical situations occur. This reduces uncertainty and helps ensure that your wishes are respected.

Our attorneys can also advise on related documents listed in many California estate plans, including pour-over wills, certification of trust, general assignments of assets to trust, and HIPAA Authorizations that fit within trust administration processes. We help clients in La Crescenta-Montrose and beyond navigate the intersection of medical privacy law and estate planning to create a cohesive plan that supports both health care decision-making and financial management in times of need.

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How We Prepare a HIPAA Authorization and Coordinate Documents

Our process begins with an initial review of your existing estate planning documents, medical care preferences, and likely scenarios where medical record access will be needed. We discuss whom you want to authorize, the scope of access, and any limitations on duration. After drafting the authorization, we advise where to file or provide copies and how to notify providers and family members. We also review related instruments such as advance health care directives and powers of attorney to ensure consistency across all documents.

Initial Consultation and Document Review

The first step involves a meeting to discuss your goals, current documents, and medical and family circumstances. We identify who should be named on a HIPAA Authorization and what level of access they should have. This meeting establishes the parameters of the authorization, including any provider-specific or time-limited restrictions, and sets the foundation for coordinated planning across your estate and health care documents.

Discussing Goals and Identifying Authorized Parties

During the initial meeting, we explore your preferences for who should access medical information and why. We consider practical factors such as availability, trustworthiness, and the ability of a nominated person to communicate with providers. This conversation helps determine whether a narrow or broad authorization is appropriate and how it should interact with advance health care directives and other planning documents to support decision-making and access to records.

Reviewing Existing Estate Planning Documents

We review any existing trust documents, wills, powers of attorney, and advance directives to identify potential conflicts or inconsistencies. Ensuring that names, roles, and instructions match across documents reduces confusion and administrative delays. This review allows us to create a HIPAA Authorization that fits seamlessly within your current plan and to recommend updates where necessary so that all documents work together effectively.

Drafting and Finalizing the HIPAA Authorization

After agreement on scope and designations, we draft a HIPAA Authorization tailored to your needs and the relevant privacy rules. The draft will outline the persons authorized, the types of medical information covered, duration or expiration terms, and revocation procedures. We also prepare instructions for signing, distribution, and storage. The goal is to produce a clear and enforceable document that providers recognize and honor when requests for information are made.

Tailoring Scope and Duration

We work with you to decide whether the authorization should be comprehensive or limited, and whether it should expire after a set time or upon a defined event. Tailoring scope and duration gives you control over how much information is shared and for how long. This stage includes advising on the practical implications of different expiration and revocation choices so you can select the option that best aligns with your privacy preferences and likely future needs.

Preparing Signing and Distribution Instructions

Once the document is finalized, we provide instructions on where to sign, how many copies to make, and which providers to receive copies. We recommend providing a copy to the named persons and storing copies with primary health care providers. Clear distribution helps avoid delays when records are requested and ensures that designated parties can present a valid authorization when interacting with medical offices and hospitals.

Ongoing Review and Document Management

Estate planning is an ongoing process. We recommend periodic review of HIPAA Authorizations and related estate documents, especially after major life events such as changes in family relationships, health status, or residential moves. Regular updates help ensure the authorization remains current and effective. We can assist with revocation or amendment if you wish to change authorized parties or scope, and we provide guidance on how to notify providers of updates to avoid unintended disclosures or access denials.

Periodic Reviews After Major Life Events

We suggest reviewing the authorization after events such as marriage, divorce, the death of a named person, or significant changes in health. These changes can affect who should be authorized to receive information and how long access should last. Periodic reviews keep the document aligned with current wishes and prevent situations where an outdated authorization permits individuals who are no longer appropriate to access sensitive records.

Revocation and Amendments When Needed

If you decide to revoke or amend a HIPAA Authorization, we can prepare the necessary written revocation and advise on notifying providers and designated parties. Properly documenting revocations helps prevent ongoing disclosures after your preferences change. Amendments may be necessary to expand or narrow access, update authorized persons, or adjust duration. We help ensure that any changes are clearly communicated and legally effective to protect your privacy and reflect current priorities.

Frequently Asked Questions About HIPAA Authorization

What does a HIPAA Authorization allow someone to do?

A HIPAA Authorization allows designated individuals or entities to receive and review protected health information from health care providers and facilities. This may include medical records, test results, treatment summaries, and communications between providers. The authorization can be crafted to specify which types of records are covered and which providers may release information. It serves as the legal basis for providers to disclose PHI to the people you name, preventing refusals based on privacy rules when family members or agents seek records to support care or administrative needs. The authorization does not by itself grant decision-making authority unless paired with an advance health care directive or similar appointment of an agent. Its primary function is information access. It is important to draft the document carefully to reflect the scope and duration of access you want to permit and to provide clear identifying information for both the authorized persons and the providers who should respond to requests for records.

Yes, an advance health care directive and a HIPAA Authorization serve different but complementary roles. The advance health care directive names a health care agent and states treatment preferences, enabling the agent to make decisions on your behalf if you cannot. However, the directive does not automatically grant access to medical records. A HIPAA Authorization ensures that the agent or other designated parties can obtain the medical information needed to make informed decisions and communicate effectively with providers. Including both documents in your estate plan helps ensure that your agent can act in accordance with your wishes and that they have the necessary medical information to do so. It is best to review both documents together so that the names, scope, and timing align and do not create confusion or administrative barriers in critical moments.

The duration of a HIPAA Authorization depends on how it is drafted. It can be written to expire on a specific date, upon a stated event, or remain in effect until revoked in writing. Choosing an appropriate duration depends on your circumstances. For short-term needs, a limited authorization with a set expiration may be preferable. For ongoing care or long-term planning, a longer duration or an authorization that remains effective until revocation may be more appropriate. It is important to include clear revocation instructions and to provide copies of any revocation to health care providers to prevent further disclosures. Periodic review of the authorization helps ensure that the duration and scope continue to reflect your wishes and that authorized persons remain appropriate choices.

Yes, a HIPAA Authorization can be tailored to limit the types of information released and the providers who may disclose records. You can specify particular records, such as hospitalization summaries, lab results, or mental health notes, or limit the authorization to specific providers or facilities. Narrowing the scope can protect privacy while allowing disclosure of information necessary for a particular purpose, such as managing an immediate health care need or handling an insurance claim. When limiting records, consider whether the authorized party will still have enough information to make meaningful decisions or support care coordination. Consulting about the practical implications of exclusions helps ensure that the authorization balances privacy with the need for actionable medical information.

Consider naming persons who are available, trustworthy, and capable of communicating with medical providers and making decisions when necessary. Common choices include close family members, adult children, trusted friends, or a designated caregiver. It is helpful to discuss the role with the person you plan to name so they understand the responsibility and are willing to act if needed. Having alternate or backup designees can also help if the primary person is unavailable when access to records is required. Avoid naming people who may have conflicts of interest or who might not be comfortable handling sensitive medical information. Be sure to include full identifying details in the authorization to reduce confusion and provide clear instructions on how providers should confirm identity and authority when releasing records.

To revoke a HIPAA Authorization, you typically must provide a written revocation to the relevant health care providers. The revocation should clearly identify the authorization being revoked and state that you are withdrawing permission for future disclosures. After providers receive the revocation, they should stop sharing records under the previously granted authorization. Keep copies of the revocation and consider verifying receipt with major providers to ensure it is applied. Note that revocation does not undo disclosures already made based on the prior authorization, and certain disclosures made before the revocation may not be retractable. For that reason, thoughtful consideration about timing and distribution of the original authorization is important, and prompt notification to providers is key when circumstances change.

Providers may accept a HIPAA Authorization from out of state, but requirements can vary by provider and jurisdiction. In many cases, a properly executed authorization that meets federal HIPAA requirements will be recognized, but some facilities have specific form or signature requirements. It is advisable to verify with the providers involved whether their procedures require a particular format, witness, or notarization, and to provide copies in advance when practical. When planning for care across state lines, consider preparing an authorization that complies with common standards and include clear identifying information. Providing the document to out-of-state providers and confirming their acceptance helps reduce delays in obtaining records and ensures continuity of care during travel or relocation.

A HIPAA Authorization itself does not confer authority to make medical decisions unless it is accompanied by an appointment of a health care agent in an advance health care directive or similar legal document. The authorization focuses on allowing access to medical records, while decision-making authority is established through other instruments. It is important to have both a directive naming an agent and a HIPAA Authorization that enables that agent to obtain the information needed to act on your preferences. If you intend for a designated person to both receive records and make decisions, ensure your estate plan includes both documents and that the names and roles match. This ensures the person has the necessary legal authority and access to information required to act in accordance with your wishes.

Yes, keeping a HIPAA Authorization with other estate planning documents is a recommended practice. Storing it with your advance health care directive, powers of attorney, trust documents, and a list of important contacts makes it easier for agents and family members to find the paperwork when needed. It is also helpful to provide copies directly to primary health care providers and to the people named in the authorization so they can present the document if records are requested. Consider keeping original signed copies in a secure but accessible place and distributing certified or plain copies to providers and authorized persons. Clear labeling and guidance on where documents are located can reduce delays during urgent situations and help ensure access to medical information when it matters most.

To help ensure hospitals and doctors recognize a HIPAA Authorization, provide signed copies directly to your primary care provider and any specialists, and confirm with hospital records departments that they have the document on file. Some facilities may have their own release forms; in those cases, bringing a copy of your signed authorization and asking whether their process requires additional steps can prevent confusion. Informing the people you named on the authorization about where copies are stored and advising them to present the document when necessary also improves recognition. When dealing with large hospital systems, it may be helpful to request that the authorization be placed in the patient’s medical record so clinicians and records staff can access it quickly. Regularly confirming that providers have a current copy on file and updating it when changes occur reduces the chance of access problems during critical moments.

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