{"id":6186,"date":"2017-09-15T14:19:30","date_gmt":"2017-09-15T14:19:30","guid":{"rendered":"http:\/\/hnetalk.com\/member\/?p=6186"},"modified":"2017-09-15T14:19:30","modified_gmt":"2017-09-15T14:19:30","slug":"authorization-of-personal-representative-form-2","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/member\/authorization-of-personal-representative-form-2\/","title":{"rendered":"Authorization of Personal Representative Form"},"content":{"rendered":"<p>A personal representative is someone who is authorized to contact Health New England and discuss your personal health information on your behalf. This person can be a family member, friend, caregiver or anyone you trust to speak on your behalf. If you would like to name a personal representative, you can fill out the Authorization of Personal Representative form and return it to us. The form can be found on our website at <a href=\"http:\/\/healthnewengland.org\/medicare\/home\/Forms\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/medicare\/home\/Forms<\/a>.<\/p>\n<p>If you want your Personal Representative to file prior approval requests, claims, grievances or appeals on your behalf, your Personal Representative MUST complete Section 8 on the form and accept the appointment. <strong>Authorization to do these things is only valid for ONE YEAR from the date you sign the Authorization Form.<\/strong><\/p>\n<p>You may revoke an authorization or end an appointment at any time by sending a letter to Health New England &#8211; Medicare Advantage Plan, Enrollment Department, One Monarch Place, Suite 1500, Springfield, MA 01144-1500. Please include your name, address, member identification number and a telephone number where we can reach you.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A personal representative is someone who is authorized to contact Health New England and discuss your personal health information on your behalf. This person can be a family member, friend, caregiver or anyone you trust to speak on your behalf. If you would like to name a personal representative, you can fill out the Authorization [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[17],"tags":[],"class_list":["post-6186","post","type-post","status-publish","format-standard","hentry","category-medicare"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZGa-1BM","_links":{"self":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/6186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/comments?post=6186"}],"version-history":[{"count":2,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/6186\/revisions"}],"predecessor-version":[{"id":6188,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/6186\/revisions\/6188"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/media?parent=6186"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/categories?post=6186"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/tags?post=6186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}