In the event Medica requests medical records from a participating provider, such provider must honor the request within fourteen (14) calendar days, or sooner if required to comply with regulatory, accreditation or contractual obligations. Such requests may include, but not be limited to, requests associated with provider or member complaints, federal or state claims audits, utilization review, care management reviews, claims appeals or quality improvement programs.

Under no circumstances will Medica reimburse participating providers for the cost of collecting, copying or delivering requested medical records. Participating providers, and any subcontractors or third parties who may collect, copy and/or deliver records for such providers, may not bill Medica or any Medica member for expenses related to a records request from Medica.