Your privacy is very important to us. We want to make your experience is as enjoyable and rewarding as possible.
Personal information Labrix Clinical Services, Inc. collects and how it is used
As a practical matter, Labrix Clinical Services, Inc. does not do business with customers under the age of 18. Nevertheless, protecting children s privacy is especially important to us. It is our policy to comply with the Children s Online Privacy Protection Act of 1998 and all other applicable laws.
While we make every effort to ensure that our web sites are appropriate for a younger audience, we believe that there is no substitute for proper parental supervision. For further information about tips, tools, age-appropriate, or kid-friendly Web sites and how to report online trouble, please visit www.getnetwise.org.
Finally, Labrix Clinical Services, Inc. recommends that children ask a parent for permission before sending personal information to Labrix Clinical Services, Inc., or to anyone else online.
PLEASE READ IT CAREFULLY.
At Labrix Clinical Services, Inc. we value your patronage, and we want you to know that we respect the privacy of all our customers. We are committed to protecting all our customers’ private personal health information, and we will only disclose and use your personal health information as deemed necessary to provide you with quality health care products and services. Protected health information (PHI) is any information in our possession, or that we use and disclose that will identify you and relate to your past, current, or future mental and physical health condition or illness and the quality health care products and services that we have provided to you. PHI includes, but is not limited to: name, address, birth date, gender, social security number, insurance member ID number, relationship to insured health plan information, health care provider information.
The purpose of this "Notice of Privacy Practices" (Notice) is to help increase your understanding relating to our legal duties to protect your PHI and how we may disclose and use your PHI in relation to your past, present and future mental and physical health condition and/or illness and its treatment. The use and disclosure of any PHI will primarily involve the quality health services that we provide.
Specifically, we will disclose and use your PHI as necessary in order for one of our affiliated Doctors to provide treatment to you, for obtaining payment for health care products and services which we or our affiliated Doctors and Pharmacies have provided to you, and other health care operations which will be described later in this Notice. Another purpose of this Notice is to describe your legal rights relating to your PHI in our possession. We take all of the obligations described in this Notice very seriously not only because we may be legally required to comply with this notice, but more importantly because we respect all of our customers and their right to privacy.
Your PHI will only be disclosed and used as described in this Notice. Should any situation requiring the disclosure and use of your PHI not described in this Notice occur, we will disclose and use your PHI once we obtain your written authorization.
The PHI may be disclosed to providers of health care, health care service plans, contractors, or other health care professionals of facilities for purposes of diagnosis or treatment of the patient.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA), provides several rights to you relating to your PHI. See below for a summarization of those rights. If at any time you would like more information about your rights, please speak with our Privacy Officer using our contact information.
You have the right to receive and/or review photocopies of records that contain your PHI, to the extent that the records are part of a record set as defined by HIPAA. If you wish to obtain and/or review a copy of an immediate relative s PHI you will need to complete an "Access and Consent statement for Release of PHI to Patient s Authorized Representative." This is subject to any limitations on use and disclosure of PHI on file with us for that family member. We will be happy to allow you access in order to review such records, providing they meet the requirements of this Notice of Privacy Practices, without cost to you during normal business hours. We may, however, charge you a cost-based fee for photocopies of the records, along with any expenses for mailing, faxing, special courier, and/or supplies needed to complete your request.
If we are unable to allow you access to our records, we will provide you a letter explaining why we are unable to provide the requested records. Depending on the reason provided, you may submit a formal request in writing for us to reconsider. Any and all requests to receive and/or review photocopies of our records containing your PHI must be submitted in writing to our Privacy Officer using a form which we will be happy to provide to you.
You will have the right to obtain a detailed accounting of some of our disclosures relating to your PHI. By detailed accounting we are referring to a written record of requested disclosures. Some disclosures of your PHI are, by HIPAA, not required to be included in the detailed accounting. Including but not limited to disclosures for purposes of TPO. Any other disclosures of your PHI which are not required to be included in the detailed accounting are disclosures made directly to you or which you have authorized, made to friends, family, and others who assist with your care (caregivers) and for other purposes which are allowed by HIPAA. Please consult our Privacy Officer for more information regarding disclosures which are not required to be included in the detailed accounting.
We are required, however, to provide a detailed accounting of disclosures for the six year period immediately preceding the date of your request for the detailed accounting; however, your request for a detailed accounting can be for a shorter period of time per your request and cannot precede the HIPAA compliance date. You have the right to obtain from us, without charge, one detailed accounting during a twelve-month period. However, if you request additional detailed accountings during the same twelve month period we will charge you a cost-based fee for printing or photocopying of the detailed accounting, together with any and all expenses for mailing, special courier, faxing and/or supplies needed to fulfill your request for the detailed accounting. If it becomes necessary for us to charge you for a detailed accounting, we will notify you in advance, allowing you to withdraw and/or modify your request for the detailed accounting. All requests for a detailed accounting of our disclosures of your PHI must be, in writing, submitted to our Privacy Officer.
You have the right to file any complaints if you believe that we have violated the rights as described above, and not to fear any retaliation or adverse action by us for exercising this right. You may file the complaint with us directly, and/or with the U.S. Department of Health and Human Services (HHS). Be assured we will work with you to resolve any and all complaints, and we will be happy to provide you with the address for HHS in order to file a complaint. If you have a concern about our privacy practices and/or wish to file a complaint, you may contact our Privacy Officer at firstname.lastname@example.org
HIPAA regulations define payment relating to health care providers (such as pharmacies), as any and all activities to obtain monetary reimbursement for the health care products and services which we provide to you. These activities are primarily billing you directly or billing someone who pays for your health care, including but not limited to a family member or a health insurance company, for health care products and services which we have provided to you. Activities related to billing include but are not limited to claims management, collections, and any related health care data processing. Depending on who pays for your health care products and services which we have provided to you, other activities may include but are not limited to eligibility determination, drug coverage determination, medical necessity under a health plan, appropriateness of care, and justification of charges, including prior authorization of drugs and services, prospective and retrospective drug utilization review services. A limited number of examples of PHI that may be used and disclosed in order to collect payment are: name, address, birth date, gender, social security number, insurance member ID number, relationship to insured health plan Information, health care Provider Information.
We will use and disclose your PHI in order for us to carry out the above activities as necessary and/or required to obtain payment for any and all health care products and services that we will provide to you. Public and private health care insurance programs that provide and/or pay for your health care are able to conduct audits, inspections and/or investigations of us related to our activities as well as your activities. It may be required for us to disclose your PHI to these programs for those purposes.
HIPAA defines health care operations as any and all activities necessary and/or related to the providing of health care products and services to you. These activities include but are not be limited to the following:
Conducting quality assessment and quality improvement activities, case management, coordination of disease management and care, contacting health care providers and patients regarding treatment alternatives and any related functions that do not include treatment.
Conducting or arranging for a comprehensive medical review, legal services and auditing functions, including but not limited to fraud and abuse detection and/or compliance programs.
Pharmacy management and general administrative activities, including but not limited to activities in relation to implementation of and compliance with all requirements of HIPAA.
We will only use and disclose your PHI in order to permit our affiliated Doctors and Pharmacists to carry out the above activities as needed and/or required, and specifically to monitor and improve the quality of our health care products and services which are provided to you. Along with the treatment, payment and health care operations which have been described above, we may use and disclose your PHI for the following:
Business associates: The health care system is a very complex system and as such it may not be possible for us or our agents, employees, or independent contractors, to be able to provide health care products and services unless we involve other businesses or persons. These other businesses or persons may become "business associates" as defined by HIPAA. It will be necessary at times for us to disclose your PHI to these "business associates" so that they may carry out the activities which are needed to be performed, allowing us to facilitate our affiliates with the provision of health care products and services to you. For patients that possess health insurance including a pharmacy benefit, one of the most common "business associates" is a health insurance company and/or a pharmacy benefits company which processes claims once we submit a request on your behalf for payment for health care products and services we have provided. We have written contracts on file with all of our business associates with whom we provide your PHI so they may carry out their activities on our behalf. For your comfort, please be advised these contracts require business associates to give us their assurance that they will protect the privacy of your PHI.
Federal and state government agencies: Federal and/or state government health care insurance programs: If you receive benefits from a federal and/or state health care program, such as Medicare or Medicaid, we may disclose your PHI to the agency granting benefits. If you are employed by a business which is required to carry workers compensation insurance, and if you are injured and your injury is covered by the workers compensation plan, it may be necessary to disclose your PHI to the workers compensation provider. Such providers have the right to conduct audits, inspections and/or investigations of our activities as well as your activities, and when required, we will disclose your PHI for these activities.
Legal disputes and lawsuits: Legal disputes and other lawsuits are common today and may involve the PHI that we possess. If you are involved in a lawsuit or other legal proceeding, without regard to the basis for the lawsuit and whether as a plaintiff or a defendant we will disclose your PHI as required complying with the court order, subpoena, discovery proceeding, or other legal mandate served to us. We will attempt to notify you before the disclosure if you are not the party requesting your PHI so that you and/or your attorney may determine whether you want to take actions to legally prevent disclosure of your PHI.
If you have any questions about any of the uses and disclosures of your PHI as described above, please contact our Privacy. We will obtain your written authorization if a use and disclosure of your PHI is not contained in this Notice before such use and disclosure. You have the right to refuse authorization. If you grant the authorization, you have the right to revoke authorization at any time. If we request such an authorization, we will provide you with a written form that describes in detail the proposed use and disclosure and your rights as they relate to the requested authorization.
We may be required by HIPAA to give you this "Notice of Privacy Practices" and make a good faith effort to obtain your written or electronic acknowledgement that you were given this notice.
We appreciate your effort in reviewing this notice and your cooperation in giving us your written or electronic acknowledgment.
At a minimum, HIPAA also requires that this Notice cover the following three areas:
How we will use and disclose your protected health information.
Your rights in regards to your personally identifiable health information.
Our duties, legally, to protect the confidentiality of the personally identifiable health information.
While preparing this Notice, we took great strides and made every effort to comply with this HIPAA requirement. You should be aware that HIPAA, the Federal regulation, does not take precedence over a stricter State Law. You may have additional protection under State Law. If you have any questions or would like more information concerning your health care and/or privacy rights under HIPAA or our privacy practices, please consult our Privacy Officer at email@example.com
You should also consult our Privacy Officer if you would like to file a complaint about these privacy practices and/or if you believe we have violated your rights as described above in this notice.