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Doctor caused delay in prior authorization and violation of HIPPA
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My imaging center opened an authorization case and they contacted the doctors office for medical records as it was requested by insurance(aetna)'s authorization handling company(Evicore).

However the medical records team never reply to voicemail, doesnt answer phone calls and they claim that they never received any fax. I found out recently that they worked from home - idk how long.

It's beem two weeks since my authorization has been put on hold.. medical records team sent me the medical records to me but not to doctors. I got scared off by seeing how easily sent the documents over to my email and emailed them back saying they shouldn't be just emailing to a random gmails.

  • they respond to emails-

Now they claim that other providers/imaging center must have a hippa form signed but still they have not received any fax. They don't answer my question on why they haven't checked voicemail.

I found that providers don't need Hippa forms for each other but would definitely need one to send to random emails like mine.

I need to get an MRI done.. can i sue this doctor's office? What can i do to get this authorization approved? Just going to another doctor is the only option?

Please help.

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Posted
1 year ago