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Atlantis Outpatient Centers

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Member Input in the Development of Plan Policies

We, at Atlantis Health Plan, value our Membersí opinions on how we can improve our policies and procedures. We understand that as someone, who deals with the Plan as a Member, you may have a totally different perspective on how we function. We truly appreciate any input that you are willing to give us about how we can serve you better.

Policy development is an ongoing process. We review our policies and procedures throughout the year in order to make any changes to our documents, contracts, staffing, marketing materials, etc. Please submit in writing your suggestions about how we can serve you better. The address is 39 Broadway, Suite 1240, New York, New York, 10006.

We welcome your feedback any time. Our goal at Atlantis Health Plan is to provide Members with excellent customer service.

Consent to Release Information

A Member consents to the release of medical and/or legal information to Atlantis Health Plan for himself/herself and Covered Dependents when the Member signs the enrollment form and uses the Atlantis Health Plan Identification Card to receive health services.

The Subscriber agrees to cooperate with Atlantis Health Plan in coordination of benefits. When asked, the Subscriber will authorize release of medical information including the names of all providers from whom services were obtained and provide information regarding the circumstances of the injury or illness and other health insurance coverage and benefits.

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