Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 300.2
Disclosure of Information to Third Parties
300.2 - Disclosure of Information to Third Parties
(Rev. 1274, Issued: 06-29-07, Effective: 07-01-07, Implementation: 10-01-07)
If a beneficiary wishes to have his/her information disclosed to a third party without appointing that
individual as a representative, this can be accomplished by the beneficiary or third party providing written
authorization to the MAC for the release of the information. The written authorization must contain a
signature of the beneficiary and an explanation of the type of information the beneficiary agrees to release to
the individual. An example of this type of situation is where a beneficiary has asked a Member of Congress
for assistance with his/her appeal. In this case, it may be necessary for the Member of Congress to receive
the decision; however the Member of Congress does not wish to accept the responsibility associated with
being the beneficiary's appointed representative or the beneficiary does not wish to appoint the Member of
Congress as his/her representative. See §310.1 for more information on requests for redetermination
submitted by Members of Congress. If the beneficiary wishes to appoint a representative, MACs should
refer to §270.