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BlueCross BlueShield of Texas
 
     
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HIPAA

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please note: this notice is intended for our fully insured/premium members. Those members of a self-funded plan should obtain a plan from your employer/group health plan.

Notice of Privacy Practices

 
Privacy Forms
Standard Authorization Form (Microsoft Word)
Standard Authorization Form (Adobe pdf)
Instructions for Completing the Standard Authorization Form (Microsoft Word)
Access Request
Disclosure Accounting Request
Amendment Request
Response to Denied Amendment
Confidential Communications Request
Restriction Request
HIPAA Complaint

A Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
© Copyright 2009. Health Care Service Corporation. All Rights Reserved.

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