Doubts about the Necessity to Obtain the Patient's Consent to Provide the Insurer with Medical Records in Medical Damage

Iwona Kaczorowska-Kossowska
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Abstract

The article discusses the issue of providing the patient's medical records to the insurance company by an entity performing medical services in the event of the injured party making a claim to remedy damage resulting from the performance of medical services (so-called medical damage). This article focuses on whether it is necessary or not to obtain the consent of a patient. As the circulation of documentation concerning damage has been regulated both in the provisions relating to the loss adjustment procedures and in legislation on medical activity, and given that in the case concerned damage documentation comprises medical records, it is necessary to discuss the effects of the collision of those two legal regimes for providing an insurance undertaking with access to said documents. It is particularly worth considering whether the provisions of the Insurance and Reinsurance Activity Act in connection with the provisions of the Compulsory Insurance Act constitute an independent basis for making available to the insurer health records necessary for loss adjustment, or whether such a disclosure should be preceded by obtaining the injured party’s consent.
对医疗损害中获得患者同意向保险人提供医疗记录必要性的质疑
本文讨论了在受害方要求赔偿因提供医疗服务而造成的损害(所谓的医疗损害)的情况下,由提供医疗服务的实体向保险公司提供患者病历的问题。本文的重点是是否有必要获得患者的同意。由于有关损失调整程序的规定和关于医疗活动的立法都对有关损害的文件的流通进行了管制,并且考虑到在有关的损害文件中包括医疗记录,因此有必要讨论这两种法律制度的冲突对向保险公司提供查阅上述文件的影响。特别值得考虑的是,《保险和再保险活动法》的规定与《强制保险法》的规定相结合,是否构成向保险人提供损失调整所需的健康记录的独立依据,或者在披露健康记录之前是否应征得受害方的同意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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