What is an authorized representative?

July 29, 2019

An authorized representative is someone you’ve designated to represent you and act on your behalf in matters related to your medical claims. Under the Health Options Program, your authorized representative is allowed to view your health information—including your claims. For example, an authorized representative would be able to speak with the HOP Administration on your behalf if you were in the hospital and had questions about how a procedure is going to be covered. If you are enrolled in a plan under the Health Options Program and want to designate an authorized representative, complete the “CMS’ Appointment of Representative” form posted to the “Forms/Resources” page on www.hopbenefits.com. Once completed, send it to the HOP Administration Unit. 

If you are not enrolled in the Health Options Program, check with you insurance provider about their authorized representative designation process.

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Contact the HOP Administration Unit for assistance with your questions.