Consent to Release Information
If you wish to release your information to a third-party app, Excellus BlueCross BlueShield requires your consent.
Please read carefully and check the boxes below if you wish to give consent.
Information disclosed to a third party is no longer protected by HIPAA Privacy Regulations and may be re-disclosed by the third-party. Federal and state privacy laws may no longer protect your protected health information (PHI).
You have the right to a copy of your PHI as maintained in the third-party Application Programming Interface (API). The information maintained in the API consists of/includes adjudicated claims, encounter data and clinical data.