Insurance Info. Request

  • Insurance Info. Request

    Posted by Tricia Toth on November 2, 2020 at 12:44 pm

    I have met with a client for a few sessions and have just been sent a letter from his insurance provider asking for very detailed information regarding his ‘medical status’ on diagnosis, clinical findings, prognosis, etc. I know that this particular client had already participated in a full psychological assessment and former counselling (within this past year); both who recommended ongoing counselling. It is my impression that the information may be being sought in an effort to disqualify him from his long term disability claim. I am reluctant to comment on ‘medical status’ as I do not have a doctorate (I have a clinical MSW, RCC, RSW). The client provided the insurance provider with authorization (which is ineligible) though I know he is concerned it may impact his benefits. Has anyone had this experience? Am I obligated to share info.? I have attached a sample response letter for review and feedback which I have not sent yet.

    Tricia Toth replied 2 years, 10 months ago 2 Members · 2 Replies
  • 2 Replies
  • Wade Alexander

    Member
    February 12, 2021 at 9:10 pm

    I’m coming into this group rather late, and untimely in providing any answers three months ago I note you post, to your query above. I thought it might be of interest to know that one of our colleagues who is an RCC has provided workshops on topics of consent and release of information etc. Maureen McEvoy.

    I am curious what came of this situation and how it worked out, or?

    • Tricia Toth

      Member
      February 25, 2023 at 4:29 pm

      Hi! As the insurance company was requesting a ‘medical’ opinion’ I declined on providing the assessment noting that it was not within my realm of qualifications and they seemed alright with this.

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