Privacy and Confidentiality

REQUEST TO AMEND INFORMATION

You have the right to request changes be made to correct errors in your records or add information that has been omitted. There are distinct limitations to what information that can be changed, by whom and under what circumstances. Carolina Care cannot amend information it did not create and will refer you to the provider of service if you are requesting an amendment to diagnosis or treatment information. Please note that Carolina Care has the right to deny the request to amend your information, but you can appeal the denial. These rights would be explained to you if you choose to appeal the denial.

The steps to requests to Amend information are:

1. Obtain a Correct/Amend Information Request Form by clicking on this link or by calling Customer Service for this form at the telephone number on the back of your identification card.

2. Complete this form including all pertinent information. Please note that Carolina Care will not be able to process an incomplete form and you will NOT BE NOTIFIED if this situation arises.

3. If possible please attach a copy of the document to be amended.

4. Sign the completed form and send to:

Carolina Care Plan PO. Box 100234 Columbia, SC 29202-3234

NOTE: If you obtained your form at our website, please print it out when completed. All requests must have a signature and be sent to the address above. Requests will not be excepted if sent via email.

5. When your request is received, the necessary steps will be taken by the Carolina Care Staff to send you the information in a reasonable time frame.

NOTE: You may send your request in writing instead of using the Privacy & Confidentiality Form, but the request must include: your name, your birthday, the policy number under which you are covered, the group number under which you are covered, your social security number, the information you would like to access and the dates of information you would like to see (if applicable). Again, please note that Carolina Care will not be able to process a request that does not include all the necessary information and you will NOT BE NOTIFIED if this situation arises.