Orange County NC Website
58 <br /> Unless otherwise prohibited by law, a Member gives implied consent <br /> to release medical information upon presenting his Membership card to <br /> any Physician or Provider. <br /> 5. Forms <br /> The Group shall keep on file copies of all documents, forms, and <br /> descriptive literature provided by the Plan for distribution to <br /> Subscribers such as, but not limited to, the Membership Certificate, <br /> Application Form, and Change of Member Status Form. The Group agrees to <br /> give all new employees a copy of the Plan's Application Form and <br /> descriptive literature, provided by the Plan, at the time that the <br /> employee is hired. Change of Member Status Forms shall be made available <br /> to Subscribers during the Group's regular business hours. <br /> 6. Records <br /> The Group shall furnish the Plan with all information and proofs <br /> which the Plan may reasonably require with regard to any matters <br /> pertaining to this Contract. All documents furnished by the Group and <br /> any other records which may have a bearing on the Coverage under this <br /> Contract shall be open for inspection by the Plan at any reasonable time. <br /> Each Member authorizes and directs any person or institution that <br /> has examined or treated the member to furnish the Plan, at any <br /> reasonable time, upon its request, any and all information and records <br /> or copies of records relating to the examination or treatment rendered <br /> to the Member. The Plan agrees that such information and records will <br /> be considered confidential. The Plan shall have the right to submit any <br /> and all records concerning Health Services rendered to Members to <br /> appropriate medical review personnel. <br /> 53 <br />