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Sedgwick CMS Complaints - Obtain my personal medical records without my authorization and permission

Review all Sedgwick CMS complaints

Sedgwick CMS
Posted: 2008-11-24 by KB  [send email]
Obtain my personal medical records without my authorization and permission
Complaint Rating: 60 % with 5 votes
Company information:
Segwick CMS
PO Box 14455
Lexington, Kentucky
United States
Phone: 866-211-1487
sedgwickcms.com

Sedgwick CMS continues to contact my doctors to obtain my personal medical records without my authorization and permission.

This is a very serious matter. They need to let me know what they have done with my personal medical records since obtained and why. They also need to stop it.
Comments United States Other
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Comments

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 355 days ago by Rob Delsman  [send email] 0 Votes
You should check with your physician to see if Sedgwick CMS has submitted any false documents to obtain your medical information.
In my case forged releases were sent in order to retrieve protected health information unlawfully.
You might also consider filing a complaint with the Department of Health and Human Services. Although DOHHS doesn’t regulate insurance support organizations like Sedgwick CMS, the more complaints the better.

I would also file a complaint with the Department of Insurance in the state where you live as they regulate people like Sedgwick CMS.

Also, get the name of your claims examiner and post it on the web, on sites like ripoffreport.com. It’s only fair that their friends and family know what they do to sick people.

Hope this helps!
 350 days ago by   discreteguy 0 Votes
Kyran,

I am a former Sedgwick CMS employee here and can tell you that Sedgwick CMS has what's called "STEP Processes" that case managers are required to follow depending on the program. If you filed an Short Term Disability claim or a Long Term Disability claim, you may have signed a "Release of Information" without realizing what it was. If you did, then unfortunately they have every right to obtain your medical records from your treatment provider for as long as you are on disability.

If you did not signed a release of information and Sedgwick CMS requested your records without your knowledge and your physician's office provided them the records, they both are violating your HIPPA rights and can be held accountable in a court of law.

If I were you, this is what I would do:

1. Forget about the Case Manager go right to the top. Contact Sedgwick via the 800 number you use for your claim and demand that you be provided the Operation Manager's name (not supervisor). Sedgwick email system is the first name.last name@sedgwickcms.com. Once you get that name, fax a signed letter to that individual advising them you believe that your HIPPA rights were violated and you are requesting a COMPLETE copy of your file, including JURIS notes, and a copy of the STEP process. The Juris notes will show you each date and time your case manager called your Physician's office requesting your medical records. If you don't request the computer notes you will not receive them. Sedgwick has to provide these records to you free of charge.

2. Once you get your records, go through them to see if there is ANYTHING you signed that stipulates Sedgwick has the right to obtain your medical records. If you signed something then unfortunately Sedgwick did not violate your HIPPA rights.

3. If you do not find any documents that allows Sedgwick to obtain your Medical Records, immediately contact your Physician's office, provide them the dates/times Sedgwick received your medical records from their office (hint-look on top of the faxed medical records. Sedgwick has an electronic medical records system and stamps everything) and DEMAND they provide you a signed Release of Information signed by you that allowed them to release your medical information.

4. If Sedgwick does not have a signed release of information on file nor does your Dr., then immediately go to an attorney with your complete file and request that a federal lawsuit be filed against both your physician and Sedgwick for violating your HIPPA rights.

Here is a link to HIPPA: http://www.hipaa.org/

Oh, by the way, judging from that Kentucky address, I suspect your either an ATT claimant, Eaton, GD, or CTA claimant and handled in the Chicago office. If so, the Op's Managers are Ratna Bagwe (ATT), Matt Wicklander (Eaton), Cheryl Morler (CTA), and unfortunately I don't know who the Op's manager is for GD.

Hope that helps.
Discrete
 113 days ago by   eksmith66 0 Votes
discrete thanks for the info this could help alot. I am an ATT employee and union steward for CWA and I am working to protect worker rights to FMLA and disb so anyone ready this email esmith66@sbcglobal.net subject sedgwick

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