Your rights Request restrictions on your health records. You have the right to ask us to not use or share certain health information. We may not agree to this request, but we will follow any request we agree to. Request confidential communications. You have the right to ask us to contact you in a specific way (for example a home phone or office phone) or to send mail to a different address. We will consider all reasonable requests and we must agree if you tell us you would be in danger if we do not. Receive a copy of your health records. You have the right to see or get a copy of your health and claims information. We may charge you for the cost of copying the records. Ask us to correct your health records. You have a right to request that Prevea360 correct certain health information held by Prevea360 if you think it is incorrect or incomplete. We may not agree to your request, but we’ll tell you why in writing. Receive an accounting of disclosures. You have the right to receive a list (accounting) of the times we have shared your health information for the six years prior to your request. The list will not include releases made for purposes of treatment, payment, health care operations, or certain other releases (such as those you asked us to make). If you ask for more than one list per year, we may charge you for the cost of providing it. Receive a copy of this notice. You have a right to ask for a paper copy of this Notice at any time. We will provide you with a paper copy promptly. Notification of a breach. You will be notified in the event of a breach of your unsecured protected health information. Right to a representative. If you have chosen a medical power of attorney or have a legal guardian, that person can exercise your rights and make choices about your health information. We will make sure that the person has this authority and can act for you before we take any action. Changes to this notice of privacy practices Prevea360 may change this notice from time to time and make the new notice effective for all nonpublic personal information we maintain, including information we created or collected before the change. Prevea360 will always follow the current version of this notice. The new notice will be available upon request, and on our website.
Complaints Submit complaints about this notice or how we handle your health information, in writing, to our Privacy Officer. Prevea360 will not hold any complaint you submit against you in any way. In addition, if you believe your privacy rights have been violated, you may file a complaint with the Secretary of the U.S. Department of Health and Human Services. To do so, write to the Office for Civil Rights, US Department of Health & Human Services, 233 N. Michigan Ave., Ste 240, Chicago, IL 60601. If you have questions, complaints or want to exercise any of your health information rights, call the Customer Care Center at 1 (800) 230-7555 (or, if you purchased coverage on the Health Insurance Marketplace, at 1 (877) 357-3173 ) or contact us at the following address:
Privacy Officer PO Box 56099 Madison, WI 53705
The effective date of this notice is October 15, 2023.
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