2.31(a)(3) fashion: 164.508(c)(1)(i) Specific name(s) or The name of the person The types of health ----- Specifies the types of The name or other specific general designation(s) of authorized to make the care providers persons that are identification of the person(s), the part 2 program(s), disclosure. making the authorized to disclose or class of persons, authorized entity(ies) or individual(s) 252.15(3m)(b)3 disclosure: information about the to make the requested use or permitted to make 146.81(2)(c) individual: disclosure: disclosure: 2.31(a)(2) 610.70(2)(a)3 164.508(c)(1)(ii) The individual, The name of the individual, The name of the The name of the The name of insurer The name or other specific agency, or agency or organization to individual, agency or person to whom the and identifies by identification of the person(s), organization to which disclosure is to be organization to which disclosure is generic reference or class of persons, to whom which disclosure made: 51.30(2) disclosure is to be authorized representatives of the the CE may make the may be made: made; or 252.15(3m)(b)4 insurer, to whom the requested use 146.81(2)(e) Entities with a treating information is or disclosure: provider relationship authorized to 164.508(c)(1)(iii) with the patient, or be disclosed: Entities without a 610.70(2)(a)5 treating provider relationship with the patient if Is a third-party payer, the name of the entity, or The entity is not listed above but facilitates the exchange of health information or is a research institution, the name(s) of the entity(ies), and The names of an individual participant(s), or The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is
2.31(a)(3) fashion: 164.508(c)(1)(i) The types of health care providers making the disclosure: 146.81(2)(c) ----- Specific name(s) or general designation(s) of the part 2 program(s), entity(ies) or individual(s) permitted to make disclosure: 2.31(a)(2) The name of the person authorized to make the disclosure. 252.15(3m)(b)3 Specifies the types of persons that are authorized to disclose information about the individual: 610.70(2)(a)3 The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure: 164.508(c)(1)(ii) The individual, agency, or organization to which disclosure may be made: 146.81(2)(e) The name of the individual, agency or organization to which disclosure is to be made: 51.30(2) The name of the individual, agency or organization to which disclosure is to be made; or Entities with a treating provider relationship with the patient, or Entities without a treating provider relationship with the patient if Is a third-party payer, the name of the entity, or The entity is not listed above but facilitates the exchange of health information or is a research institution, the name(s) of the entity(ies), and The names of an individual participant(s), or The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is The name of the person to whom the disclosure is authorized 252.15(3m)(b)4 The name of insurer and identifies by generic reference representatives of the insurer, to whom the information is authorized to be disclosed: 610.70(2)(a)5 The name or other specific identification of the person(s), or class of persons, to whom the CE may make the requested use or disclosure: 164.508(c)(1)(iii)
HCR-Authorization-Elements-Grid-4.4.18.docx