NOTICE OF PRIVACY PRACTICES FOR Pure Proactive Health Inc ( DBA Betr Health)
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice describes how Pure Proactive Health Inc. and members of its Affiliated Covered Entity (collectively, “Betr Health,” “we,” or “us”), when acting on behalf of the Betr Health) may use and disclose health information about you (“Protected Health Information”) and how you can access this information. An Affiliated Covered Entity is a group of health care providers under common ownership or control that designates itself a single entity for purposes of compliance with the Health Insurance Portability and Accountability Act (“HIPAA”). The members of the Betr Health may share Protected Health Information with each other for treatment, payment, and health care operations related to the Affiliated Covered Entity. For a complete list of members of the Affiliated Covered Entity, please contact the Betr Health’s Privacy Officer at [email protected].
Uses and Disclosures of Your Health Information:
Your protected health information may be used and disclosed by our health care providers, our staff, and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to support our business operations, to obtain payment for your care, and any other use authorized or required by law. A minor’s protected health information regarding services which the minor confidentially consented to under state law may only be disclosed to a parent/guardian pursuant to a valid authorization by the minor.
TREATMENT: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. We may use your information to direct or recommend alternative treatments, therapies, health care providers, or settings of care to you or to describe a health-related product or service. We may also disclose protected health information to a health care provider to whom you have been referred to ensure they have the necessary information to diagnose or treat you.
PAYMENT: Your protected health information may be used to bill or obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for your services, such as making a determination of eligibility or coverage for insurance benefits and reviewing services provided to you for medical necessity.
HEALTH CARE OPERATIONS: We may use or disclose your protected health information to support our health care operations, which include internal administration, business planning, and activities that improve the quality and cost effectiveness of the care provided to you. For example, we may use your health information to review our treatment and services and to evaluate the performance of our physicians and health care professionals. We also may create and use de-identified data, in which information is removed from your protected health information so that you cannot be identified (“De-identified Data”), as authorized by law.
ELECTRONIC HEALTH INFORMATION SHARING: We may take part in or make possible the electronic sharing or pooling of healthcare information. The most common way we do this is through local or regional Health Information Exchanges (HIEs). HIEs help doctors, hospitals and other healthcare providers within a geographic area or community provide quality care to you. If you travel and need medical treatment, HIEs allow other doctors or hospitals to electronically contact us about you. All of this helps us manage your care when more than one doctor is involved. It also helps us to keep your health bills lower (avoid repeating lab tests). And finally, it helps us to improve the overall quality of care provided to you and others. We are involved in national health reform efforts and may use and share information as permitted to achieve regional or national goals, including regional or nationally approved population health management or wellness initiatives.AS REQUIRED BY LAW: We may use and disclose your protected health information to the extent required by any applicable federal, state or local law.
UNIQUE CIRCUMSTANCES: We may use or disclose your protected health information in the following unique circumstances without your authorization: to assist in public health activities, such as disease tracking and reporting information about products under the under the U.S. Food and Drug Administration’s jurisdiction; to inform authorities to protect victims of abuse or neglect; for health care oversight purposes, such as investigations of fraud; in response to a legal order or other lawful process during a judicial or administrative proceeding; to law enforcement officials as required by law or in compliance with a court order; to coroners, funeral directors and organ donation agencies as authorized by law; for research purposes pursuant to a valid authorization from you or following institutional review board protocols; to avert a serious threat to health or safety; to assist in specialized government functions, such certain military activity and national security purposes; for workers’ compensation reporting; and other required uses and disclosures.
USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION:
For any purpose other than described above, we only use or disclose your protected health information with your written authorization. We are prohibited from using or disclosing your protected health information for purposes that are marketing under the HIPAA privacy rule, including accepting payment from third parties in exchange for making communications about treatments, providers, products, or services, without your written authorization. We also will never sell your protected health information without your written authorization.
If you provide us with an authorization for certain uses and disclosures of your information, you may revoke such authorization at any time, except to the extent that we have taken an action in reliance on it, by writing to us at [email protected].
YOUR RIGHTS WITH RESPECT TO YOUR PROTECTED HEALTH INFORMATION:
You have the following rights regarding the PHI maintained by the Medical Group:
- You have the right to inspect and copy your protected health information.
- You may request access to or an amendment of your protected health information.
- You have the right to request a restriction on the use or disclosure of your protected health/personal information. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply. If we agree to comply with your request, we will be bound by such agreement, except when otherwise required by law or in the event of an emergency.
- You have the right to request to receive confidential communications from us by alternative means or at an alternate location, and we will accommodate reasonable requests. You must submit your request in writing to [email protected].
- You have the right to request an amendment of your protected health information. If we deny your request for amendment, you have the right to file a statement of disagreement with us.
- You have the right to receive an accounting of certain disclosures of your protected health information that we have made for the prior six (6) years, except to the extent made for purposes of treatment, payment, healthcare operations, or certain other purposes (such as your authorization).
- You have the right to obtain a paper copy of this Notice, upon request, even if you have previously requested its receipt electronically by email.
BREACH OF HEALTH INFORMATION:
You have the right to be notified in the event that we (or one of our business associates) discovers a breach of unsecured PHI.
REVISIONS TO THIS NOTICE:
We reserve the right to revise this Notice and to make the revised Notice effective for protected health information we already have about you as well as any information we receive in the future. You are entitled to a copy of the Notice currently in effect. Any significant changes to this Notice will be posted on our website. You then have the right to object or withdraw as provided in this Notice.
Complaints about this Notice or how we handle your protected health information should be directed to our HIPAA Privacy Officer at [email protected] If you are not satisfied with the manner in which a complaint is handled you may submit a formal complaint to the Department of Health and Human Services, Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.