The term "record" means any item, collection, or grouping of information that includes PHI and is maintained, collected, used, or disseminated by or for a covered entity. This last category includes records that are used to make decisions about any individuals, whether or not the records have been used to make a decision about the particular individual requesting access. Other records that are used, in whole or in part, by or for the covered entity to make decisions about individuals.Enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan or.
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