CLAIMFOX. INC. 905 MARCONI AVE RONKONKOMA. NY 11779 P. 631.205.1200 K. 631.205.1211 CLAIMFOX.COM CLAIMFO,/ CONSIDER IT DONE Prohibition of Pe-Disclosure ClaimFox, Inc. makes every effort possible to protect our clients' confidential claimant information. As claims files may contain a portion of the claimant's medical record, ClaimFox follows the same standards and guidelines set forth for releasing patient medical records, as outlined in the I-IIPAA Security and Privacy Act. The attached or enclosed information may have been disclosed to you from records whose privacy is protected from disclosure by federal and state law including, as applicable, 45 CFP Part 16O (I-IIPAA), 42 CFP Part 2 (alcohol and drug treatment) and other state laws. The applicable law or laws may prohibit you from making any further disclosure without the specific written authorization by the individual to whom it pertains or their authorized representative, or as otherwise permitted or required by law. A general authorization for release of information is not sufficient for this purpose unless it conforms to the specific requirements of the applicable law or laws. Further disclosure not in accordance with applicable federal and state law may result in civil and/or criminal penalties. Based upon guidelines outlined by the American Wealth Information Management Association, these records should be destroyed after the stated need has been fulfilled. All claims files that have been disclosed to you have been carefully reviewed to assure that proper disclosure is made only to the authorized requestor. If you have any questions, please contact ClaimFox at: Toll Free: (844) CLAIM FOX Direct: (631) 2O5-12OO Ext 555 [email protected] EFTA00151247