COMLEX Ethics Level 2 Practice Test

What is the rule regarding patient confidentiality with respect to third-party payers?

Always disclose to insurance upon request Confidentiality is maintained regardless of payer; disclosures require patient consent Confidentiality only applies to cash payers Always disclose to employer automatically

Correct Answer:

Confidentiality is maintained regardless of payer; disclosures require patient consent

Explanation:

Protecting the patient’s privacy is the default. Information about a patient should not be shared with third-party payers without the patient’s permission, and any disclosure beyond what is strictly necessary for payment should be obtained through consent. This respects the patient’s autonomy and privacy, and guides clinicians to share only what is needed and to inform patients about when and what data will be shared. In practice, you should only reveal the minimum information required for billing and obtain consent for broader sharing, which fits the principle that confidentiality is maintained regardless of who is paying.

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