Disclosure of Individually Identifiable Beneficiary Information to an

270.1.8 - Disclosure of Individually Identifiable Beneficiary Information to an Appointed Representative (Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation: 07-23-13) In accordance with the provisions of the Privacy Act, before the MAC may release beneficiary-specific information to an appointed representative, the beneficiary or appellant must complete and sign CMS-1696, or other conforming written instrument, naming that individual as his/her representative. The MAC shall use caution in releasing beneficiary-specific information to appointed representatives. The representative is entitled to receive only information that the party (beneficiary or appellant) would be entitled to receive (e.g., the determination letter) and that which is pertinent to the case/claim for which the representative is being appointed. For more information about the disclosure of identifiable information about beneficiaries, see the Medicare General Information, Eligibility, and Entitlement Manual, Chapter 6: see also §300 below.