THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU GET ACCESS TO THIS INFORMATION.
This Privacy Notice gives you information required by the privacy provisions of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (HIPAA Privacy Rules) about the duties and privacy practices of Proxsys, LLC to protect the privacy of your medical information.
THE EFFECTIVE DATE OF THIS NOTICE IS APRIL 14, 2003 OR SUBSEQUENT DATE OF INCORPORATION. We are required to follow the terms of this notice until we replace it, and we reserve the right to change the terms of this notice at any time. If we make changes, we will revise and publish the new Privacy Notice for public perusal.
Purposes for which we may use or disclose your Medical Information without your consent or authorization
We may use and disclose your medical information for the following purposes:
Health Care Providers’ Treatment Purposes: For example, we may disclose your medical information to your doctor, at the doctor’s request, for your treatment by him.
Payment: For example, we may use or disclose your medical information to facilitate payment to facilities by third party payers.
Health Care Operations: For example, we may use or disclose your medical information to facilitate a procedure at a Business Associate Health Care Facility.
As Required By Law: For example, we must allow the U.S. Department of Health and Human Services to audit our records. We may also disclose your medical information as authorized by and to the extent necessary to comply with worker’s compensation and other similar laws.
To Business Associates: We may disclose your medical information to business associates we hire to assist us. Each of our business associates must agree in writing to ensure continuing confidentiality and security of your medical information.
We may also use and disclose your medical information as follows:
- To comply with legal proceedings, such as a court or administrative order or subpoena.
- To law enforcement officials for limited law enforcement purposes.
- To a family member, friend or other person, for the purpose of helping you with your health care or with payment for your health care, if you are in a situation such as a medical emergency and you cannot give your agreement to us to do this.
- To your personal representatives appointed by you or designated by applicable law.
- For research purposes in limited circumstances.
- To avert a serious threat to your health or safety or the health or safety of others.
- To a coroner, medical examiner, or funeral director about a deceased person.
- To an organ procurement organization in limited circumstances.
- To a government agency authorized to oversee the health care system or governmental programs.
- To federal officials for lawful intelligence, counterintelligence or other national security purposes.
- To public health authorities for public health purposes.
- To appropriate military authorities, if you are a member of the armed forces.
Potential impact of State Law
In some situations, the HIPAA Privacy Rules do not preempt (or take precedence over) state privacy laws that give you greater privacy protections. As a result, the privacy laws of a particular state might impose a privacy standard under which we will be required to operate. For example, some states provide additional protections for domestic abuse information in certain circumstances.
Uses and Disclosure with your permission
We will not use or disclose your medical information for any other purposes unless you give us your written authorization to do so. If you give us your written authorization to use or disclose your medical information for a purpose that is not described in this notice, in most cases, you may revoke it in writing at any time. Your revocation will be effective for all of your medical information we maintain, unless we have taken action in reliance on your authorization.
Your Rights
You may make a written request to us to do one or more of the following concerning your medical information that we maintain:
- To put additional restrictions on our use and disclosure of your medical information. We do not have to agree to your request.
- To communicate with you in confidence about your medical information by a different means or different location than we are currently doing. We do not have to agree to your request unless confidential communications are necessary to avoid endangering you, and your request enables us to continue to collect information necessary to conduct treatment, payment and health care operations for our business associate health care facilities.
- To see and get copies of your medical information. In limited cases, we do not have to agree to your request.
- To correct your medical information. In some cases, we do not have to agree to your request.
- To receive a list of disclosures of your medical information that we and our business associates made for certain purposes, but not for disclosures prior to April 14, 2003 or date of incorporation.
If you want to exercise any of these rights described in this notice, please contact our Privacy Office (below). We will give you the necessary information and forms for you to complete and return to our Privacy Office. In some cases, we may charge you a nominal, cost-based fee to carry out your request.
Complaints
If you believe we have violated your privacy rights, you have the right to complain to us or the Secretary of the U. S. Department of Health and Human Services. You may file a complaint with our Privacy Officer (below). We will not retaliate against you if you choose to file a complaint with us or with the U. S. Department of Health and Human Services.
Contact Office
To request additional copies of this notice or to receive more information about our privacy practices or your rights, please contact our Privacy Officer:
Proxsys, LLC
Jerry C. Smith, CFO
1500 Urban Center Drive, Suite 500
Birmingham, AL 35242
Telephone – 1 888 776 9797