PATIENT REQUESTS FOR RECORDS BY PHONE
If you (the patient) need a copy of your ER (or hospitalist) physician billing, please call our customer service department at 800-378-4134. Customer service will ask several questions to ensure that we are talking to the patient, but, after confirming identity, the record(s) will be sent to the address listed in the account. We do not charge a fee for sending you, the patient, a statement when the request is made by phone.
PATIENT REQUESTS FOR RECORDS BY WRITTEN HITECH REQUEST
If you (the patient) choose to request your ER (or hospitalist) physician billing in writing, per the HITECH act, please download and complete our Right of Access form which is available HERE.
Please complete the form, sign it and create a PDF copy of the fully completed document. Then, you may either forward the PDF copy of the document to us at the e-mail address listed on the Right of Access form, or forward the document to us by mail to the post office box listed on the form.
Regardless of which delivery option you (the patient) choose, the request is not considered complete until we receive your check, payable to the applicable physicians group, in the amount of $6.50. Once your completed form and payment are received, we will act on the request within 30 calendar days.
PATIENT REQUESTS FOR RECORDS DESTINED TO A 3rd PARTY
Ciox Health, LLC v. Azar, et al.
On January 23, 2020, a federal court vacated the “third-party directive” within the individual right of access “insofar as it expands the HITECH Act’s third-party directive beyond requests for a copy of an electronic health record with respect to [protected health information] of an individual . . . in an electronic format.” Additionally, the fee limitation set forth at 45 C.F.R. § 164.524(c)(4) will apply only to an individual’s request for access to their own records, and does not apply to an individual’s request to transmit records to a third party.
https://www.hhs.gov/hipaa/court-order-right-of-access/index.html#.XjDiaq8Qki8.twitter
If you (the patient) need a copy of your ER (or hospitalist) physician billing to be sent to a 3rd party, e.g., a tax preparer or an attorney, the process is as follows:
- Download and complete the Right of Access form which may be accessed HERE;
- The fee is dependent on the state-regulated fees for the state in which you (the patient) were treated (see schedule below);
- Mail the completed/signed form and payment to MEDISERV HITECH REQUESTS / P.O. BOX 25144 / FORT WORTH, TX 76124. Or, the completed/signed Right of Access form may be forwarded by secure e-mail message to sendmyrecords@mediservltd.com. PLEASE NOTE that we do not consider the request complete until we receive payment of the applicable state-regulated fees (see below).
We will act on the request within 30 calendar days of receiving the fully completed form and payment in our office.
Thanks in advance for you compliance.
LIST OF FEES BY STATE FOR ONE PAGE OF PHYSICIAN BILLING
Arkansas……………………………………………………………………… $15.50
Colorado……………………………………………………………………… $18.53
Florida………………………………………………………………………….. $1.00
Illinois…………………………………………………………………………. $29.63
Iowa………………………………………………….………………………… $20.00
Kansas………………………………………………………………………… $22.29
Louisiana……………………………………………………………………. $26.00
Missouri……………………………………………………………………… $26.66
Nevada………………………………………………………………………… $0.60
Oklahoma…………………………………………………………………… $10.30
Texas………………………………………………………………………….. $25.00
