Version 2.0, effective November 2019
IMPORTANT NOTE - Our Notice of Privacy Practices is a separate document that governs how medical information about you may be used and disclosed in connection with the health care services in accordance with the Health Insurance Portability and Accountability Act (“HIPAA”).
In accordance with HIPAA, we are required to maintain the privacy of your Protected Health Information (PHI). In the event your State law is more restrictive than the Federal Law, we will comply with the more restrictive law, to the extent applicable.
It is Reliant’s goal to:
We may make disclosures of PHI for the following reasons:
Treatment - including disclosure to physicians, nurses, pharmacies, and other health care professionals who provide you with health care services and/or are involved in the coordination of your care, such as providing your physician with your test results and medical information collected and or maintained by us.
Payment - we may use or disclose PHI to bill and collect payment for services or products that you have ordered. For example, we may provide PHI to your health plan to receive payment for services provided to you by us or one of our business associates.
Healthcare Operations - we may use or disclose PHI for activities necessary to support our healthcare operations, including but not limited to, quality control of our testing, the accuracy of our results, audits, and for our operational and management purposes.
Business Associates - we may disclose PHI to our business associates who perform certain business functions or provide certain business services to us. All of our business associates are required to maintain the privacy and confidentiality of your PHI. In addition, at the request of your health care providers or health plan, we may disclose PHI to their business associates for purposes of performing certain business functions or health care services on their behalf.
Required by Law - we may disclose your PHI as required by law.
Legal Proceedings and Law Enforcement - we may disclose PHI under certain circumstances related to a legal proceeding, including but not limited to responding to a court order, a subpoena, a warrant or when information is needed for 1) for identification or location of a suspect, fugitive, material witness or missing person, 2) about a victim of a crime.
Research - we may disclose PHI for purpose of research but only after we have determined that the research activity poses minimal risk to privacy and that there are sufficient policies in place to protect the PHI.
Designee and Representatives - we may disclose PHI to individuals you have designated in order to assist in your care or payment related to your care. We may also disclose PHI to your representatives, including but not limited to, your guardian(s), administrator/executor of your estate.
Other Disclosures - as permitted by HIPAA, we may disclose PHI to:
We will not use or disclose your PHI for marketing purposes or sell your PHI, unless you have given us prior authorization to do so. You may revoke any authorization at any time. If you revoke your authorization, we will no longer use or disclose your health information for the reasons stated in your authorization except to the extent we have already taken action based on your authorization.
Reliant is permitted by you to disclose any information about you to third parties if it has a good faith reason to believe that it is required to provide such information by law or other legal process or to protect the rights, safety or property of Reliant or other third parties.
You have the right to request that we send your health information by alternative means or to an alternative address, and we will accommodate reasonable requests.
You may request that we agree to restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request, except for requests to limit disclosures to your health plan for purposes of payment or healthcare operations when you have paid us for the item or service covered by the request out-of-pocket and in full and when the uses or disclosures are not required by law.
You have a right to receive a list of certain disclosures we have made of your PHI within the last six years from the date of your request. Under the law, this does not include disclosures made for purposes of treatment, payment, or healthcare operations or certain other purposes.
You have the right to access your PHI. Within 30 days after receipt of your request, you will receive a copy of your records unless an exception applies. Exceptions include a determination by a licensed health care professional that the access requested is reasonably likely to endanger the life or safety of you or another person, and our inability to provide access to the PHI within 30 days, in which case we may extend the response time for an additional 30 days if we provide you with a written statement of the reasons for the delay and the date by which access will be provided. You have the right to access and receive your PHI in an electronic format if it is readily producible in such a format
If you believe that your PHI contains a mistake, you may request, in writing, that we correct the information. If your request is denied, we will provide you with a written explanation of the reason for the denial.
You may write or send an email to us with your specific request. See below for contact information.
You have the right to file a complaint with us. You also have the right to file a complaint with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights.
To file a complaint with us, for questions about this Notice, to request a copy of this Notice or your record please send an email to us at email@example.com, or write to us at the following address: 6500 River Place Blvd, Building 4 Suite 102, Austin, TX 78730.
You may also contact the Privacy Officer at firstname.lastname@example.org.
Reliant reserves the right, in its sole discretion, and at any time, to modify this Notice. We will post a copy of the current Notice on our website and you may obtain a copy of the Notice upon request. You can determine when this Notice was last revised by referring to the “Last Updated” notation above.
Your continued use of the Application following the posting of the revised Notice means that you accept and agree to the changes.