What is the process for obtaining medical records in a Rhode Island workers' compensation claim?

• A. Wait for court order
• B. Demand records without consent
• C. Do not obtain records
• D. Obtain a patient authorization, request records from treating providers, and review for relevance

Answer: (D)

In Rhode Island workers’ compensation, the way to obtain medical records is to start with a signed patient authorization that covers the records related to the work injury. With that consent, you request records from the treating providers using standard release forms, specifying the time frame and the types of documents needed (progress notes, diagnoses, test results, treatment plans, medications, and any impairment evaluations) and ensuring the scope is limited to information relevant to the claim. Once the records are received, you review them for relevance to the issues in the claim—such as documenting the injury, treatment history, work restrictions, and medical necessity for care—while protecting privacy by redacting information not pertinent to the claim. This process complies with HIPAA and Rhode Island privacy laws and avoids broader, unnecessary disclosure. If consent cannot be obtained, other lawful avenues (like a court order) may be pursued, but the standard approach centers on obtaining patient authorization, requesting records, and reviewing them for relevance.