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Complete Guide to HIPAA Authorization in Estate Planning

A HIPAA Authorization is an essential estate planning document that allows your chosen agents and family members to access medical information and speak with health care providers on your behalf. In Julian and throughout San Diego County, this authorization ensures that medical decisions and communications can proceed smoothly if you are unable to speak for yourself. A well-drafted HIPAA Authorization works alongside powers of attorney, advance health care directives, and trusts to create a cohesive plan for your care. This paragraph introduces how this document fits into a broader estate plan and why clients consider it a standard part of planning.

When preparing an estate plan that includes a HIPAA Authorization, it is important to think beyond the form and consider who will truly manage your medical information and advocate for your interests. The authorization should be carefully tailored so the designated individuals have access to the information they need without unintentionally granting broader permissions than intended. In addition to naming people, the authorization can specify types of records, durations, or conditions under which access is allowed. Properly aligned with other documents such as a living trust or advance directives, a HIPAA Authorization helps preserve dignity and smooth decision-making during difficult times.

Why a HIPAA Authorization Matters for Your Estate Plan

A HIPAA Authorization provides clear legal permission for health care providers to share medical records and updates with the people you choose. Without it, hospitals and clinics may refuse to disclose important information to family members or other advocates, which can delay care or complicate decision-making. This document also reduces uncertainty for health professionals and prevents disputes among relatives about access to information. Including a HIPAA Authorization in your estate plan supports continuity of care, allows for informed decisions, and protects privacy preferences by specifying who can receive information and under what circumstances.

About Our Firm and Our Approach to HIPAA Authorizations

The Law Offices of Robert P. Bergman provides estate planning services to clients throughout San Diego County, including Julian, with a focus on practical, client-centered planning. Our approach emphasizes clear communication, careful document drafting, and creating coordinated plans that work together—such as combining HIPAA Authorizations with revocable living trusts, powers of attorney, and advance health care directives. We work to understand each client’s family dynamics and medical concerns so that the written authorization reflects real needs. The firm takes time to explain options and draft documents that avoid ambiguity and unnecessary restrictions.

Understanding HIPAA Authorization and Its Role

A HIPAA Authorization permits covered health care providers and insurers to disclose protected health information to named individuals or entities. This is different from an advance health care directive or durable power of attorney because it specifically addresses the release of medical records and information rather than decision-making authority. In practice, the authorization is often used in combination with other documents so that the person with decision-making authority can also obtain the information needed to carry out those duties. Drafting the authorization with clear scope and duration helps ensure access while protecting privacy.

When considering a HIPAA Authorization, it is important to identify precisely which records or types of information are to be shared, who will receive them, and whether the authorization is revocable. Many clients choose language that allows access to mental health records, substance use treatment records, and diagnostic test results, while others limit disclosure to particular providers or timeframes. The authorization can also include provisions for electronic records and third-party communications. Thoughtful drafting reduces delays and ensures that designated persons can act quickly when medical information is needed.

Definition and Practical Explanation of a HIPAA Authorization

A HIPAA Authorization is a written and signed instruction that allows health care providers, health plans, and other covered entities to release protected health information to specified recipients. The form typically identifies the person authorizing the release, the person or entity receiving the information, the type of information covered, and the duration of the authorization. It must be sufficiently specific to satisfy federal rules while reflecting the authorizer’s personal preferences. This document empowers designated individuals to obtain lab reports, physician notes, and billing information so they can coordinate care and communicate with providers on the authorizer’s behalf.

Key Elements and How the HIPAA Authorization Works

Key elements of a HIPAA Authorization include the identity of the person signing, the names of the recipients, a clear description of the information to be released, an expiration date or event, and a signature and date. The process usually starts with a client decision about who should have access, followed by drafting or completing the authorization form, signing it in accordance with applicable rules, and providing copies to providers and trusted family members. Providers retain a copy and process requests according to the authorization; having copies available in an estate planning portfolio streamlines this process when time is limited.

Key Terms and Glossary for HIPAA Authorizations

Understanding common terms helps you make informed choices when completing a HIPAA Authorization. Terms such as ‘protected health information’, ‘covered entity’, ‘designated recipient’, and ‘revocation’ appear frequently in these documents. Learning what each term means and how it affects access to records will allow you to tailor the authorization to your preferences. Reviewing this glossary before signing helps avoid unintended broad permissions and ensures the authorization supports the rest of your estate plan in a coherent way.

Protected Health Information (PHI)

Protected Health Information, commonly called PHI, refers to any individually identifiable health information transmitted or maintained by a covered entity. This includes medical records, test results, treatment notes, billing details, and information about diagnosis or prognosis. PHI can be in written, electronic, or spoken form. A HIPAA Authorization controls who can receive PHI, which helps protect patient privacy while allowing important information to be shared with trusted individuals for decision-making, coordination of care, or administrative purposes.

Designated Recipient

A designated recipient is the person or entity authorized to receive protected health information under a HIPAA Authorization. This can include family members, close friends, attorneys, trustees, or health care agents named in other documents. The authorization should clearly name each designated recipient and may describe their relationship to the authorizer. Being explicit about recipients prevents confusion when medical records requests are processed and ensures that only intended parties gain access to sensitive information.

Covered Entity

A covered entity refers to health care providers, health plans, and health care clearinghouses that are subject to HIPAA rules. These entities are legally required to protect PHI and to follow specific procedures when sharing information. A HIPAA Authorization directs covered entities to release information to designated recipients despite the general privacy protections otherwise in place. Identifying which entities in your care network are covered helps ensure the authorization is valid and effective when records are requested.

Revocation

Revocation is the act of withdrawing a previously granted HIPAA Authorization. Most authorizations can be revoked in writing by the person who signed them, but revocation does not affect information already released under the original authorization. The form should explain the steps needed to revoke permission and include a contact or address where revocation notices should be sent. Including a clear revocation clause gives the authorizer control to change who can access medical information as circumstances evolve.

Comparing Options: Minimal Forms vs. Broad Authorizations

Individuals often weigh whether to use a narrowly tailored HIPAA Authorization or a broader form granting wide access. A narrow approach limits disclosure to specific providers, records, or timeframes, which enhances privacy but may create delays if unexpected providers need to share information. A broad authorization facilitates faster coordination among multiple providers and family members but increases the circle of people able to see sensitive records. Choosing the right option requires balancing privacy concerns, family dynamics, and the likelihood of complex medical decision-making.

When a Limited HIPAA Authorization Makes Sense:

Limited Access for Specific Providers or Records

A limited HIPAA Authorization is appropriate when you want to restrict access to particular providers or types of records, such as mental health notes or substance use treatment records. This can protect privacy while still allowing necessary information sharing for specific purposes, like coordinating care with a primary physician or a treating specialist. Clients with concerns about sensitive information often prefer narrower scopes to avoid broad disclosure, and a targeted authorization can meet clinical needs without exposing unrelated or private records to a wide audience.

Temporary or Event-Based Permissions

Limiting an authorization to a specific period or event can be helpful when access is only needed for a short time, such as during a hospitalization or to facilitate a particular medical procedure. Event-based permissions allow you to name an expiration tied to recovery or discharge, reducing ongoing disclosure after the immediate need has passed. This approach is useful for clients who want to provide temporary flexibility for caregivers without granting open-ended access to their medical records after a crisis or treatment episode concludes.

When a Comprehensive Authorization and Coordination Are Advisable:

Complex Care and Multiple Providers

Comprehensive HIPAA Authorizations are generally recommended for individuals with multiple treating providers, chronic conditions, or complex care needs that require coordination among specialists, hospitals, and long-term care facilities. Broad permissions help ensure that designated advocates can obtain full histories, lab results, and discharge plans without delays that could impede treatment. In these situations, integrating the authorization with powers of attorney and advance directives creates a cohesive plan so those handling finances or health decisions have timely access to the information they need to act responsibly.

Family or Care Team Communication Needs

When families share caregiving responsibilities or when a care team includes multiple relatives, friends, or fiduciaries, broader authorization can prevent gaps in communication. A comprehensive authorization allows multiple named individuals to receive updates and records, streamlining coordination and reducing the chance of miscommunication. This approach is particularly useful when trusted individuals need to track evolving treatment plans, medication changes, or follow-up appointments, enabling them to work together efficiently to support the person receiving care.

Benefits of a Broad HIPAA Authorization in Practice

A comprehensive HIPAA Authorization facilitates prompt information sharing, which can be vital during medical emergencies or when multiple specialists are involved. Having clear authorization on file helps providers release records quickly to authorized people, reducing administrative delays. This can lead to better-informed medical decisions, improved continuity of care, and fewer misunderstandings among family members. When paired with a durable power of attorney and advance health care directive, a broad authorization ensures that those responsible for decisions have the information necessary to act in the patient’s best interests.

Comprehensive authorizations also reduce the need for courts or third parties to intervene when access to information is contested or unclear. By preemptively naming individuals and granting access, you provide a clear roadmap for providers and relatives to follow. This clarity can minimize stress at moments when quick action is needed and can protect privacy by documenting consent rather than relying on ad hoc requests. For many families, the practical benefits of seamless access outweigh the concerns about broader disclosure.

Faster Response During Emergencies

During an emergency, time is of the essence, and delays in obtaining medical records or talking with providers can have significant consequences. A comprehensive HIPAA Authorization already on file allows named individuals to receive critical information without waiting for additional releases or legal steps. This speed can help clinicians make prompt decisions and ensures that family members or caregivers are informed about patient status and next steps. The authorization streamlines communication at a stressful time and reduces administrative hurdles when care must move forward quickly.

Integrated Care and Reduced Administrative Burden

A broad authorization reduces repetitive paperwork, as providers who receive a valid authorization typically accept it for ongoing releases rather than requiring new forms for each request. This reduces administrative burden for families coordinating care across facilities and helps maintain complete medical histories for clinicians. As a result, the care team can better track treatment responses and medication changes. For people managing long-term or chronic conditions, that continuity supports better outcomes and fewer missed opportunities to address evolving health concerns.

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Practical Tips for Your HIPAA Authorization

Choose the Right People Carefully

Selecting who receives medical information is a personal decision that should account for trust, availability, and ability to communicate with health care providers. Consider naming alternates in case a primary designee is unavailable, and think about whether to include family members, a close friend, or a fiduciary such as a trustee. Be mindful that the people you choose will have access to sensitive information, so discuss your preferences with them in advance. Clear communication helps ensure designees understand their role and reduces stress when they need to act.

Be Specific About Scope and Duration

Define what records may be released and for how long. You can limit access to particular providers, treatments, or time periods to balance privacy and practicality. For situations like a hospital stay, an event-based expiration tied to discharge may be appropriate, while chronic care scenarios may call for ongoing access. Specifying scope reduces ambiguity and helps providers comply quickly. Remember that an authorization can be revoked in writing, so including a revocation method maintains control if circumstances change.

Coordinate with Other Estate Planning Documents

A HIPAA Authorization works best when aligned with powers of attorney, advance health care directives, and your trust documents. Together these forms ensure the right people have both the information and the decision-making authority they need. Keep copies of all documents accessible to designees and providers, and review them periodically to confirm names, addresses, and contact information remain current. Coordination prevents gaps in authority and reduces friction when care decisions or record requests must be made quickly.

Why You Should Include a HIPAA Authorization in Your Plan

Including a HIPAA Authorization is a proactive step to preserve communication channels between health care providers and your chosen advocates. It protects your preferences by documenting consent to share medical information and avoids unnecessary delays when treatment or decisions require up-to-date records. For people with chronic health conditions, advancing age, or potential hospitalizations, this authorization is particularly useful. It ensures trusted individuals can promptly receive lab results, physician notes, and discharge instructions, enabling better care coordination and peace of mind for you and your family.

Another reason to include a HIPAA Authorization is to reduce friction between relatives or caregivers who may need information at different times. When the authorization clearly names who may receive records and outlines the scope, healthcare providers can release information without navigating family disputes or legal uncertainty. This clarity protects privacy while allowing essential communication. Additionally, including the authorization in your estate planning portfolio makes it more likely that providers will have it on file when the need arises, rather than needing to request a last-minute release.

Common Situations Where a HIPAA Authorization Is Needed

Typical circumstances include hospital admissions, transitions to long-term care, chronic disease management requiring multiple specialists, and end-of-life care planning. When family members need to coordinate medications, appointments, or follow-up treatments, having a valid HIPAA Authorization prevents delays in information sharing. It is also useful for handling insurance or billing questions related to medical care. Anticipating these situations and preparing appropriate permissions reduces stress for patients and families when medical needs arise.

Hospitalization or Emergency Care

Hospital stays and emergency care are common times when a HIPAA Authorization proves essential. Hospital staff often limit information to protect patient privacy unless they have documented permission to speak with family members or caregivers. Having an authorization on file permits prompt updates about diagnoses, test results, and treatment plans, which helps family members make informed decisions and coordinate aftercare. Providing copies of the authorization to local hospitals and clinics ensures it is available when needed.

Ongoing Care with Multiple Providers

Patients who see multiple specialists or receive home health services benefit from authorizations that allow seamless exchange of records among providers. Ensuring that a primary caregiver or designated family member can obtain full medical histories reduces the likelihood of miscommunication, duplicate testing, and medication errors. Coordinated access supports continuity of care when providers need to consult past records to make treatment recommendations and helps caregivers manage appointments and medication schedules more effectively.

Managing Billing and Insurance Questions

HIPAA Authorizations are often used to permit family members or fiduciaries to discuss billing, insurance claims, and payment options with providers and insurers. Access to billing records and medical documentation can be important when resolving disputes or coordinating payments, and a valid authorization removes barriers providers might otherwise encounter. Including administrative permissions alongside clinical records in the authorization enables designated people to handle practical matters while the patient focuses on recovery and care.

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Local Legal Assistance for HIPAA Authorizations in Julian

If you live in Julian or elsewhere in San Diego County and are planning for medical contingencies, we can help you prepare a HIPAA Authorization that fits your needs. We review your family situation, medical history, and other estate planning documents to draft an authorization that works with your overall plan. We can explain options for limited or broad access, include revocation procedures, and ensure the form is compatible with state and federal requirements. Our goal is to provide clear, practical documents that protect privacy and facilitate care.

Why Choose Our Firm for HIPAA Authorization and Estate Planning

Our firm focuses on creating coordinated estate planning documents tailored to each client’s circumstances, including HIPAA Authorizations that align with living trusts, powers of attorney, and advance health care directives. We prioritize clear drafting, open communication, and accessible explanations so you understand who will have access to medical records and how to manage revocation or amendments. We work to avoid ambiguity in your documents so that providers and designees can quickly act when needed, reducing the chance of disputes or delays.

We take a practical approach to advising on HIPAA Authorizations, helping clients balance privacy and accessibility according to their needs. During planning meetings we discuss various scenarios, such as hospitalizations, long-term care transitions, and coordination between specialists, so the authorization accurately reflects your preferences. We also help clients store and distribute copies of key documents to providers and family members, increasing the likelihood the authorization will be on file when an urgent need arises.

Clients appreciate our focus on creating durable, understandable documents that reduce administrative friction in medical settings. We assist with updates and revocations when circumstances change and provide guidance on how to share authorizations with medical providers and trusted contacts. Our goal is to make the planning process straightforward and to ensure the people you name can access necessary information without unnecessary obstacles.

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How We Prepare Your HIPAA Authorization

Our process begins with a conversation about your medical history, family relationships, and the decisions you want to enable. We then draft an authorization tailored to your preferences, specifying recipients, scope, and duration. After reviewing the draft together and making any desired changes, you sign the document and we provide guidance on distributing copies to providers and trusted contacts. We also advise on how the authorization integrates with other documents like powers of attorney and advance directives to ensure consistent coverage across situations.

Step One: Initial Planning and Information Gathering

During the initial planning stage, we gather details about your health care providers, family members or caregivers you want to name, and any specific privacy concerns you have. This information helps us determine whether a limited or broad authorization is appropriate and which records should be included. We also review your existing estate planning documents to ensure the HIPAA Authorization complements other instruments. Understanding these factors early allows us to draft a document that functions smoothly when it is needed.

Identify Desired Recipients and Scope

We assist you in identifying the individuals who should have access to medical records and whether alternates should be named. Together we decide if the authorization should cover all PHI or be limited to specific providers or types of records. This step includes discussing situations such as hospitalizations, long-term care, or chronic condition management to ensure the scope matches anticipated needs and privacy preferences.

Coordinate with Existing Documents

We review your current estate planning documents and recommend adjustments to ensure the HIPAA Authorization complements powers of attorney, advance health care directives, and trust instruments. This prevents conflicting language and makes certain that those who are authorized to make decisions also have access to necessary medical information. Coordination reduces administrative obstacles and clarity at times when prompt access to records matters most.

Step Two: Drafting and Client Review

In the drafting stage we prepare a HIPAA Authorization that reflects the choices made during planning. The draft specifies recipients, the type of information to be released, effective dates, and revocation procedures. We provide a clear explanation of each clause and recommend any language that supports your privacy preferences. You then review the draft and request changes if needed. This collaborative review ensures the final document accurately captures your intentions.

Prepare the Formal Authorization Document

We draft the formal authorization with precise language to comply with federal HIPAA rules and to minimize ambiguity. The document will include designated recipients, descriptions of PHI to be released, and an expiration or revocation method. We also advise on how to sign and where to store copies so providers will accept it when needed. Clear drafting reduces misunderstandings and increases the likelihood providers will act promptly upon receipt.

Client Review and Amendments

You will have the opportunity to review the document and request revisions to ensure the authorization aligns with your comfort level regarding privacy and access. We discuss potential scenarios and refine language to address concerns such as mental health records or substance use treatment records. Once you approve the final form, we guide you through execution and recommend steps for distribution to health care providers and trusted contacts.

Step Three: Execution and Distribution

After signing the HIPAA Authorization, we help you distribute copies to key providers, store a master copy in your estate planning file, and provide guidance on how designees should present the authorization when requesting records. We also explain revocation procedures and advise periodic reviews to keep names and contact information current. This final step ensures that the authorization will be readily accessible when medical situations arise and that designees understand how to use it.

Provide Copies to Providers and Family

We encourage clients to place copies of the signed authorization with primary care doctors, hospitals they use, and any specialists involved in ongoing care. Providing copies in advance reduces the chance of delays during an emergency and familiarizes providers with the authorization’s format. It also helps family members and designees know where to find the document and how to present it when communicating with a health care facility.

Review and Update as Necessary

Life changes such as new providers, changed relationships, or evolving medical needs may require updates to the authorization. We recommend periodic review to ensure named individuals remain appropriate and that the scope still reflects your preferences. If you need to revoke or amend the authorization, we provide written forms and advice on how to notify providers so changes are respected. Ongoing attention helps keep the authorization effective and aligned with your planning goals.

HIPAA Authorization Frequently Asked Questions

What is a HIPAA Authorization and how does it differ from a power of attorney?

A HIPAA Authorization is a written document that allows covered health care providers and insurers to share protected health information with specified individuals or entities. Unlike a durable power of attorney for health care, which grants decision-making authority about medical treatment, the HIPAA Authorization specifically governs the release of medical records and information. Both documents often work together: the power of attorney allows someone to make decisions, while the authorization ensures that person can obtain the information necessary to make informed choices and communicate with providers. The authorization must include specific elements to meet federal rules, such as naming the person authorizing the release, identifying the recipients, describing the information to be released, and setting an expiration or revocation method. Having both documents in place eliminates practical barriers: the decision maker can both access records and exercise decision-making authority, creating a coordinated plan for times when the patient cannot speak for themselves.

When choosing designated recipients, think about trustworthiness, availability, and communication abilities. Many people name a spouse or adult child as a primary recipient and designate an alternate in case the primary designee is unavailable. You may also include a close friend, a trustee, or a fiduciary who will be involved in your care or financial affairs. Consider how comfortable you are with each person seeing sensitive medical information and discuss expectations with potential designees so they understand their role. It is also wise to provide contact information and explain how records should be requested. In some cases you might limit recipients to certain providers or types of information. Naming alternates and clarifying the conditions under which access is granted helps ensure the right people can act quickly and appropriately when medical information is required.

Yes, you can limit the types of medical records released under a HIPAA Authorization. The document can specify particular categories of PHI, such as diagnostic test results, lab reports, or billing information, and can exclude others like mental health or substance use treatment records if you prefer to keep those private. Specifying limits helps balance the need for coordinated care with concerns about sensitive information being disclosed more broadly than intended. Be mindful that overly narrow authorizations can slow care coordination if additional records are later needed. If you limit scope, consider including language that allows for reasonable requests related to the treatment at hand or name an alternate mechanism to obtain additional records if required. Discuss these choices with an attorney so the authorization accomplishes your privacy goals while remaining practical for providers and designees.

A HIPAA Authorization remains valid as specified in the document and often includes an expiration date or event, such as discharge from a specific hospital stay. If no expiration is specified, providers may treat the authorization as valid until it is revoked or superseded. Importantly, revocation generally must be made in writing to the covered entities that hold the records or the designated recipients, and the revocation does not undo any disclosures made while the authorization was in effect. To maintain control over who sees your information, include clear revocation instructions in the authorization and provide a copy of any revocation notices to providers and designees. Periodically reviewing expiration events and updating the document as circumstances change helps ensure it remains effective and aligned with your wishes.

Many health care providers will accept a HIPAA Authorization from another state if the form meets HIPAA requirements and clearly identifies the parties and scope of disclosure. However, some providers or institutions may have local policies or prefer their own forms to document consent. To avoid delays, obtain a copy of the provider’s preferred authorization form or ensure your document contains the necessary elements typically required by HIPAA and by the provider’s administrative office. When planning travel or receiving care across state lines, it is helpful to provide copies of your authorization to the primary facilities you use and to ask local providers whether they require additional forms. Confirming acceptance in advance reduces the chance of administrative obstacles during critical medical events.

Including administrative or billing access in a HIPAA Authorization can be practical if trusted individuals will handle insurance claims, billing questions, or care coordination. This allows designated people to speak with providers and insurers about charges, claims adjustments, and payment arrangements without separate releases. For many families, combining clinical and administrative permissions in one document simplifies logistics and reduces paperwork when bills or insurance disputes arise. If you have privacy concerns about financial records, you can tailor the authorization to permit only specific administrative tasks or exclude billing information while allowing clinical records. Clearly describing the scope helps avoid confusion and ensures that designees have the authority they need to manage practical matters related to care and payment when you are unable to do so.

If you do not have a HIPAA Authorization and become hospitalized, providers may be limited in what they can share with family members or friends due to federal privacy rules. They will typically discuss general updates only with individuals listed as legal next of kin or those who already have documented decision-making authority. Without written authorization, loved ones may need to obtain a court order or other formal documentation to access detailed medical records, which can delay care coordination and communication during stressful times. To avoid these complications, it is wise to prepare a HIPAA Authorization in advance and distribute copies to likely providers and family members. Doing so removes uncertainty and permits your designated contacts to obtain information promptly, ensuring that medical decisions and follow-up care can proceed with complete and timely information.

Mental health and substance use treatment records are often subject to additional protections under federal and state laws, and a HIPAA Authorization can be used to permit their release when necessary. Some states and facilities require specific language or separate releases for records involving psychotherapy notes or substance use treatment. Therefore, it is important to include clear, compliant language if you want these records disclosed and to confirm whether any additional forms are required by the providers involved. When including sensitive categories in the authorization, be deliberate about recipients and scope, and consider whether all designees should receive the same level of access. Consulting with an attorney or the treating provider about required wording and consent procedures helps ensure that sensitive records can be legally and effectively released when needed.

To ensure designees can obtain records, provide them with copies of the signed authorization and instruct them on how to present it to providers. It is also helpful to place copies with primary care providers and hospitals you commonly use. Designees should carry a copy of the authorization or know where to find it, and providers should be informed in advance that the authorization exists. This proactive distribution reduces administrative delays and makes it more likely the authorization will be accepted quickly when a request is made. Keeping contact information for providers and an updated list of current health care facilities in your estate planning file further assists designees in contacting appropriate offices. Periodically reviewing and updating both the list and the authorization ensures the document remains functional and that designees can act promptly in medical situations.

Review your HIPAA Authorization whenever your personal circumstances change, such as after major health events, changes in family relationships, or when you add or remove providers. Annual or biennial reviews are a reasonable practice for many people to confirm that named designees, contact information, and scope remain appropriate. Regular reviews also allow you to revoke or amend the authorization if you change your preferences about who should receive medical information. If you move, change primary care physicians, or alter trusted relationships, update the authorization promptly and distribute new copies to providers. Keeping the document current ensures designees can access records when needed and prevents confusion caused by outdated names, addresses, or provider lists.

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