At one time or another, a member of your family has probably been in the hospital. You may have called the hospital to see how they were doing. It wasn’t so long ago that a nurse would ask your relationship to the patient, then offer info about your loved one’s condition. Now, it’s likely you’ll be asked for a password first.

It’s just one of the ways care providers are guarding an individuals’ protected health information (PHI). Passwords chosen by the patient and shared with family or friends is common.

Blue Cross and Blue Shield of New Mexico protects its members in a similar way. All members can keep their PHI safe by using a Standard Authorization Form. 

Your Standard Authorization Form

The form lets you decide how BCBSNM can share your PHI for any care you may heave received. You can list the names of all the individuals you’d like to have access to your PHI. You can also choose what information is shared and set a timeframe so we know when the permission ends.

If someone is helping with your care or needs access for legal reasons, you can add their name to your form. Examples of individuals you choose to list on your form may include your spouse, friend, lawyer or parent.

You can change — or cancel — your form at any time. If you don’t want your information shared with anyone, there’s no need to use a Standard Authorization Form.

Completing Your Standard Authorization Form

The form has five pages. After reading all the instructions, the last two pages have five sections that must be completed. Once all sections have been filled in, you’ll sign the form to validate it.

We suggest keeping a copy of your final form before mailing. You can always visit your member account online to print new copies of the Standard Authorization Form.