If you are in the care of a plan member, you could perform certain tasks on their behalf. For this, it is necessary that the member you care for sign certain special documents to certify that you are his or her representative. These documents are known as Protected Health Information (PHI) and Appointment of Representative (AOR).
Here we describe the difference between both documents, since you may need to complete only one or both.
Protected Health Information (PHI) |
Appointment of Representative (AOR) |
Description |
A document in which an enrollee authorizes a person to undertake tasks and receive confidential information related to his or health without requiring authorization for each call or visit.
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Document in which an enrollee authorizes a person to file grievances, appeals and/or request coverage determinations without requiring authorization for each call or visit. |
Who can be authorized? |
Any person that the enrollee determines to have his/her trust and has the capacity to carry out health procedures in his/her name, or any person that by law is the legal guardian of said enrollee. |
Any person that the enrollee determines to have his/her trust in filing appeals and grievances or coverage determinations in his/her name, or any person who by law is the legal guardian of said enrollee. |
Validity |
Until the date that the enrollee specifies in the document.
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One (1) year (from the date the document is signed) |
First, download the document that you need:
Authorization for Disclosure of Protected Health Information (PHI)
Revoke Authorization for Disclosure of Protected Health Information (PHI)
Appointment of Representative (AOR)
Then, fill it out and send it via mail, fax, email, or deliver it in person at any of our Service Offices.
MMM Multi Health
Beneficiary Services
PO BOX 72010
San Juan, PR 00936-7710
Fax: 1-844-990-4990
ServicioVital@mmmhc.com
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