A medical assistant in a primary care office receives a request from a life insurance company for a patient's complete medical records, which include their HIV status. According to HIPAA and specific regulations for sensitive information, what is the most appropriate initial action for the medical assistant to take?
Send the medical records but redact all information related to the patient's HIV status before sending them.
Forward the request to the office manager or physician to handle, as medical assistants cannot release any records.
Obtain a specific, written authorization from the patient that explicitly permits the release of HIV-related information.
Release the records immediately because the request is from a legitimate insurance company for underwriting purposes.
The correct action is to obtain a specific, written authorization from the patient before releasing the information. A patient's HIV status is considered highly sensitive protected health information (PHI) and is often subject to stricter state and federal protection laws than other medical information. A general consent for release of records may not be sufficient; a specific authorization that explicitly mentions the release of HIV-related information is required for disclosure to a third party like an insurance company. Releasing the records without this specific consent would be a violation of the patient's privacy rights. Redacting the information may not fulfill the insurance company's request, and the primary step is always to seek patient consent.
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