Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 6 § 170.3
Disclosure to Third parties for Proper Administration of the
170.3 - Disclosure to Third parties for Proper Administration of the
Health Insurance Program
(Rev. 1, 09-11-02)
Disclosure by the provider or supplier to persons other than the individual or the
individual's authorized representative of any records, reports, or other information about
the individual is authorized without the individual's or their representative's consent under
the following circumstances:
The disclosure is required in connection with any claim or other proceeding under the
Social Security Act for the proper performance of the duties of:
•
Any officer or employee of the Department; or
•
Any officer or employee of a State agency, A/B MAC (A or HHH), provider of
services, or other agency or organization participating in the administration of the
program, by contract or agreement, in carrying out such contract or agreement.
These limitations apply whether or not the individual to whom the information pertains
authorizes further disclosure to third parties (e.g., to a private medical plan).