Checklist – Release of Medical or Financial Records
Combo File – Release of Medical Records and Medical Billing Records
1. 0 – Surviving Spouse, Children, etc.
29.0 – Application to Release Medical Records and Medical Billing Records
29.1 – Entry Authorizing Release of Medical Records and Medical Billing Records
29.2 – Report of Receipt of Medical Records and Medical Billing Records
29.3 – Notice of Application to Release of Medical Records and Medical Billing Records
29.4 – Waiver of Notice/Consent
GCPF 4.30 – Background Certification and Records Check