Insurance claims for patients with hiv need a: a patient's written agreement to disclosure; patient's complete medical history; physician documentation that include the diagnosis ; patient's test result confirming the diagnosis

Insurance claims for a patient with HIV need a physician’s documentation that include the diagnosis, test results confirming the diagnosis, and also patient’s complete medical history.

Explanation:

The coding process for billing insurance claims begins with medical documentation. This documentation or the medical record should be recorded in the appropriate formats like the SOAP format to provide the details about the patient’s present illness, past medical condition, diagnosis, results, medication and treatment plans, and other details.

Each of the details of the medical record is taken into account for billing and coding purposes during insurance claims.

The insuring companies can request for patient’s complete medical history and record; however, it should be given only at the consent of the patient.  

To claim insurance, the patient must undergo a blood test to confirm HIV positive. The results should never be disclosed to anyone as per the patient confidentiality laws.  

The patient has the rights to preserve his/her confidentiality of medical data and hence need not sign a written disclosure agreement.

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