FINANCIAL INFORMATION

 

We understand the importance of your privacy. This notice describes how medical information about your minor child, or you as a patient, may be used and disclosed and how you can obtain access to this informaiton. We keep our patient's financial and health information private as required by law, by ethical standards, and our own polices. We obtain and use several types of financial information to carry out health insurance and billing activities. This includes information you give us on patient information forms or other forms, such as your name, address, employer, age and dependents: payment history, and information we may obtain from a consumer-reporting group pertinent with only with regard to your account with our medical practice.

 

We use physical, technical and procedural methods to protect your private information and share it only with our employees, affiliates, or others who need it to provide services to you, for insurance purposes, or for other legally allowed or required purposes. We may need to change the terms of this notice in the future and reserve the right to do so necessary to protect your privacy. 

 

HEALTH INFORMATION

 

For Payment

 

We use and disclose information about you to manage your account or benefits and to facilitate insurance payments for your claims for services. We may also give information to a doctor's office to confirm your benefits or we may ask a hosptial for details about your treatment for claims benefits, to review care and services you receive, to provide coordination of care management, or to coordinate services/

 

As allowed or required by law

 

Information about you may be shared for administrative or other legal proceedings; to public health authorities, or to law enforcement officers such as to comply with a court order or subpoena.

 

Authorization

 

We will obtain your written permission before we use or share your protected health information for any other purpose unless otherwise allowed or required by law. You may withdraw permission at any time in writing. We will then stop using your information for that purpose. However, if we have already used your information based on your authorization, you cannot take back your agreement for those past situations.