BILLING AND MEDICAL RECORDS REQUESTS

CHARTSWAP

As of March 2, 2020 Minivasive Pain & Orthopedics has contracted ChartSwap to process requests for the release of medical records (protected health information) and billing records.

All patient health care information at Minivasive Pain & Orthopedics is confidential. Therefore, medical records cannot be released to any person or organization without the consent of the patient or the patient’s legally authorized representative (unless authorized by law).

Written Authorization

Requests for the release of medical records (protected health information) must be submitted in writing and must contain all the elements required by law. Authorizations must also be dated and signed by the patient or the patient’s legally authorized representative. In the case of a minor, a parent or legal guardian must sign the authorization.

Minivasive Pain & Orthopedics has authorized forms that can be downloaded.

• Download – Authorization to Disclose Protected Health Information (PDF, 206KB)

Processing Fees

No fee is assessed when the information is being sent to another health care provider or is for a social security disability claim. Requests for medical record information for social security disability claims must be accompanied by a supporting letter from the Social Security Administration.

Patients and Patient representatives will not incur a fee other than the fee associated with ChartSwap. All others will be invoiced thru ChartSwap.

MEDICAL AND BILLING RECORDS VIA CHARTSWAP

We accept: Visa, MasterCard, American Express, and Discover.
For billing questions, please call 346-318-1500