NOTICE OF PRIVACY
January 1, 2003
The office of MEDSTAT, INC. is dedicated to protect your “nonpublic personal health information”. This notice is to tell you how and why we collect that information, and who has access to that information.
HOW WE COLLECT YOUR INFORMATION:
Your personal demographic information such as name, address, birth date, social security number, and medical insurance information is obtained from you, at your physician’s office. That is why they ask you to fill out the patient information sheet and why they ask for a copy of your insurance card. This information is then forwarded to our company so that we may bill your insurance carrier for the medical services that were rendered to you. By obtaining that information from you, we ensure that the information we collect is correct.
If you came to your physician’s practice through a hospital encounter, he/she may obtain that information from the hospital. However, on your first visit to your physician’s office, they will ask you to fill out their information sheet to ensure that the information they received from the hospital was correct.
We may also ask a doctor or other health care provider who referred you to our physician client to give us health information that will enable us to better file for your insurance benefits.
WHY WE COLLECT THIS INFORMATION:
We collect this information so that we can obtain payment from you or your health insurance.
MAINTAINING ACCURATE AND TIMELY INFORMATION:
To ensure that the information we maintain is accurate, each time you visit your physician’s office, you will be asked if any of your information needs to be updated.
WHO HAS ACCESS TO THIS INFORMATION:
Any person or persons you designate in writing, people directly involved in your medical care, people creating and maintaining your medical record, and those entities that need your information to process health care claims and obtain payment for our services have access to your Protected Health Information.
Entities such as Governmental Oversight agencies, Judicial and Administrative Proceedings, Law Enforcement Agencies, Coroners and Medical Examiners, and Organ Procurement Organizations may obtain copies of your Protected Health Information. These entities are mandated by Law and this company has no jurisdiction over such entities.
HOW WE PROTECT YOUR INFORMATION:
We release your information only to those people who need your information. We maintain physical, electronic, and procedural safeguards so that no one but persons involved in your healthcare or entities who need this information for claims processing have access to your Protected Healthcare Information.
You have the right to inspect your Protected Healthcare Information. You also have the right to amend any errors you may find in your record.
If your physician leaves our company, your Protected Healthcare Information will continue to receive the protection outlined in this notice.
If you have any complaints concerning our privacy practices, you may contact the Secretary of the Department of Health and Human Services, at 200 Independence Avenue, S. W. Room 509F, HHH Building, Washington D.C. 20201. You also may contact the Privacy Officer of this company at (480) 985-1093.