Requesting Your Confidential Medical Information
Claremont members (Members) have a right to access their Medical Information under California law, including for services received via a telehealth provider. Members also may request the form and format of communications that Claremont sends to them containing their Medical Information and/or their provider’s name and address by contacting Claremont online at www.claremonteap.com/contact-us, by mail at 1050 Marina Village Pkwy., Suite 203, Alameda, CA 94501, via email at firstname.lastname@example.org, or by telephone 800-834-3773. Claremont will comply with that request if the form and format is readily producible. Member requests shall remain valid until a Member revokes the request or submits a new request. Claremont shall implement a Member request within seven (7) calendar days of receiving it electronically or within fourteen (14) calendar days of receiving it by first-class mail. Claremont will acknowledge receiving a Member request and let the Member know the status of implementing such a request.
“Medical Information” means any Individually Identifiable information, in electronic or physical form, in possession of or derived from a provider of health care, health care service plan, pharmaceutical company, or contractor regarding a Member’s medical history, mental or physical condition, or treatment. “Individually Identifiable Information” means that the Medical Information includes or contains any element of personal identifying information sufficient to allow identification of the Member, such as the Member’s name, address, electronic mail address, telephone number, or social security number, or other information that, alone or in combination with other publicly available information, reveals the identity of the Member.