Do I need to include a notarized HIPAA authorization form?
All Record Requests made by a law firm, attorney, or representative must include a notarized HIPAA authorization form. Fidelis Care requires the authorization form to be notarized in order to protect our member’s privacy.
All Record Requests made by a member to have records sent to a third party must include a HIPAA authorization form. Please note, Record Requests made by a member do not require the HIPAA authorization form to be notarized.
Do I need an original HIPAA authorization form to complete a request for records?
No. A copy is acceptable as long as it is compliant, notarized and legible.
What happens if my HIPAA authorization form is not compliant or notarized?
Fidelis Care will not process the request and will notify you in writing indicating the reason your request could not be processed.
Can I follow up on my request via email, phone or fax?
No. Fidelis Care will not process any requests or provide any updates via email, phone or fax. All requests and follow up MUST be sent in writing to:
Attn: Legal Affairs
95-25 Queens Boulevard
Rego Park, NY 11374
Does Fidelis Care provide medical records? If not, who do I contact for medical records?
Fidelis Care is a health insurance company and does not generally have medical records. Please contact the health care provider that rendered the services for medical records.
How long should I wait before following up on a request?
The entire process can take up to 30 days to process. If you have not received your records within this time frame, please follow up in writing via USPS or overnight courier. Please include a self-addressed stamped envelope in order to permit Fidelis Care to respond.