![]() To make a request in writing, see Sample Letter 2. Try making your request more manageable by inspecting your records at the office first, then requesting copies of only items that seem to be part of the problem. Be careful too - copies of medical records cost money. Be confident in knowing that you have a right to inspect your medical records and to receive copies of them, with some exceptions. Ask to see your medical records about the item you are seeing in the Explanation of Benefits. Contact the doctor, pharmacy, laboratory, health plan, or other provider who submitted the information to the insurer.You may need to write this request: Sample Letter 1 at the end of this information sheet will help. Ask for copies of records connected to the item. Ask for more details about anything you suspect, and ask them to investigate. Call your insurer at the number listed on the Explanation of Benefits.(Remember that services for family members may be on your Explanation of Benefits too.) This is that form than often says “THIS IS NOT A BILL.” You see a service you did not receive, an office visit you did not make, or medical equipment you did not request on the statement. Your Explanation of Benefits statement from your health insurer arrives in the mail. Sign Two: Unknown Item in Explanation of Benefits Keep watching your Explanation of Benefit statements anyway. A breach that involves medical information, but not your Social Security or health insurance number, does not generally pose a risk of medical identity theft.If you find any, follow the steps in the next section. Closely watch your Explanation of Benefits statements for any questionable items. Tell them about the breach and ask them to note the breach in their records and to flag your account number. If the letter says your health insurance or health plan number was involved, contact your insurer or plan.Follow the four steps: a fraud alert or a security freeze on your credit records will stop someone else from using your Social Security number to open new credit accounts in your name. If the letter says your Social Security number was involved, quickly go to our fact sheet What to Do If Your Personal Information Is Compromised (See Additional Resources section at end of this sheet.).Some information types can put you at greater risk than others, so look closely at this part of the letter. It could be health insurance numbers, Social Security numbers, or medical information. The letter also shares what type of information was exposed. A burglar, for example, may have stolen an employee laptop, or a hacker may have reached into the organization’s computer system. The letter usually describes what happened. The letter tells you that your information was involved in a data breach, which means your information left the organization’s control for a period. You get a letter from a health care organization. There are five key signs that you might have a medical identity theft problem. At the end of the sheet, we have sample letters and more resources for tackling this crime head-on. Then we give you tips for protecting yourself. In this information sheet, we describe signs of medical identity theft. If the thief’s medical treatment or diagnosis mixes with your treatment or diagnosis, your health is at risk. He or she may get prescription drugs or to file claims with your insurance company in your name. The thief may use your identity to see a doctor. When another person uses your personal information to get medical services or goods, or to gain financially, that is medical identity theft. ![]()
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