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Confidentiality and Access of Records

The confidentiality and privacy of medical records are protected from unauthorized and inappropriate use in all settings by strict policies and by law. With limited exceptions, your medical records may not be disclosed to others, including your employer, without your written consent. You, or an individual acting on your behalf, may request medical records for the purpose of providing care or resolving disputes related to coverage, reimbursement or complaints.

Routine consent signed at the time of enrollment permits us to release information for purposes of quality assessment and measurement, treatment, coordination of care, accreditation, billing and other uses. Identifiable information is minimized and protected from inappropriate disclosure. Information provided to employer groups is aggregated to protect the identification of any individual.

You have a right to approve the release of information beyond the uses identified in the routine consent that you sign upon enrollment and at other times as needed for workers’ compensation claims, auto insurance claims, marketing or data used for research studies.

Confidential personal health information may not be disclosed to your spouse or family without written authorization from you or an authorized representative. Information regarding children under 18 years of age may be released to a parent or legal guardian. If an adult is incapacitated, a legally appointed guardian may act on his or her behalf.

Participating providers must comply with applicable laws, professional standards and policies regarding the confidential treatment of medical information, including security measures to control access to confidential information maintained in computer systems. Access to electronic files containing information is to be protected and restricted to employees who have a business-related need to know.  Oral, written and electronic personal health information across the organization will be kept confidential in accordance with applicable law.

Blue Cross and Blue Shield of Illinois understands the importance of confidentiality and respects your right to privacy.  A summary of our privacy practices is available on this Web site.

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