Protected Health Information (PHI)
Caregiver Registry
Learn how you can represent the person you are caring for.
If you are in the care of a plan member, you could perform certain tasks on their behalf. For this, it is necessary that the member you care for sign certain special documents to certify that you are his or her representative. These documents are known as Protected Health Information (PHI) and Appointment of Representative (AOR).
PHI(Protected Health Information)
A document in which a memberauthorizes a person to undertake tasks and receive confidential information related to his or health without requiring authorization for each call or visit.
Who can be authorized?
Any person that the member determines to have his/her trust and has the capacity to carry out health procedures in his/her name, or any person that by law is the legal guardian of said member.
Validity
This authorization is valid for a maximum period of 2 years. You must select wether you want the authorization to expire in 2 years or on the date you want it to, which should be less than 2 years.
AOR(Appointment of Representative)
Document in which a member authorizes a person to file grievances, appeals and/or request coverage determinations without requiring authorization for each call or visit.
Who can be authorized?
Any person that the member determines to have his/her trust in filing appeals and grievances or coverage determinations in his/her name, or any person who by law is the legal guardian of said member.
Validity
1 year.
- Appointment of Representative (AOR)