MCAL MM-18-24_Authorization for Release of PHI_F 03/2019
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
(PHI)
HIPAA
CalOptima(PHI)



 A
 
CIN 


   

X
 B
CalOptima
PHI
 
PHI




_______
_______

 C

 
MCAL MM-18-24_Authorization for Release of PHI_F 03/2019
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 

D 
CalOptimaPHI



 
 E 

CalOptima Attn: Enrollment & Reconciliation, 505 City Parkway West, Orange, CA
92868.
CalOptimaPHI

PHICalOptima
PHI
HIPAA


PHI


 F

_______________

MCAL MM-18-24_Authorization for Release of PHI_F 03/2019
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G 
(ID)





 
 
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