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Member confidentiality

To ensure the confidentiality of member information and to meet National Committee for Quality Assurance (NCQA) and federal HIPAA confidentiality requirements, Priority Health has implemented a procedure for releasing member information to employers, agents and other third parties acting on behalf of the member.

Getting member authorization

  1. We require three pieces of information to be used as verification that the third party is inquiring on the member's behalf:
    • Name, address or date of birth
    • Social Security number
    • Contract number
  2. Print one of these forms for a member to fill out and sign:
  3. Member completes the form, specifically describing the information they are authorizing Priority Health to release.
  4. Member or third party submits the form to Priority Health via
    • Fax: 616 942-0616 (preferred to avoid delays in assisting the member)
    • Mail:
      Priority Health
      MS 2005
      1231 East Beltline NE
      Grand Rapids, MI 49525-4501

      Questions about this policy? Contact Customer Service.

Questions?

Contact Customer Service at 800 446-5674

 
Last modified: 8/31/2011
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