Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU
MAY BE USED AND DISCLOSED - PLEASE REVIEW IT CAREFULLY
Provided in compliance with 45C.F.R. § 164.520
RxParadigm, Inc. and its affiliated entities (collectively "RxParadigm")
may use health information about you for treatment, to obtain payment
for treatment, to evaluate the quality of care you receive, and for
other administrative and operational purposes. Your health information
is contained in a medical record that may be the physical property
and responsibility of RxParadigm.
Your Health Information Rights
You have the following rights with respect to health information
about you.
Right to Copy of Notice of Privacy Practices. You
have the right to a paper copy of our Notice of Privacy Practices
at any time. To obtain a copy of our current Notice of Privacy Practices,
please contact your local RxParadigm location or RxParadigm's Chief
Privacy Officer at the address or phone listed below.
Right to Inspect and Copy. You have the
right to inspect and/or obtain a copy of the health information
about you that we maintain in certain groups of records that are
used to make decisions about your care. Your request must be in
writing. If you request a copy of your health information, we will
charge you a fee to cover the costs of copying and mailing the information.
In certain very limited circumstances, we may deny your request
to inspect and copy your health information. If you are denied access
to your health information, we will explain our reasons in writing.
You have the right to request that another person at RxParadigm
review the decision. We will comply with the outcome of the review.
For information about this right, see 45C.F.R. § 164.524.
Right to Amend. If you feel that health
information about you that we maintain in certain groups of records
is inaccurate or incomplete, you have the right to request that
we amend the information. You have the right to request an amendment
as long as we maintain the information. Depending on the nature
of your request, we may ask that you submit it in writing and include
a reason supporting the request. In certain circumstances, we may
deny your request to amend your health information. If your request
for an amendment is denied, we will explain our reasons in writing.
You have the right to submit a statement explaining why you disagree
with our decision to deny your amendment request. We will share
your statement when we disclose health information about you that
we maintain in certain groups of records. For more information about
this right, see 45 C.F.R. § 164.526.
Right to an Accounting of Disclosures. You
have the right to request an accounting or detailed listing of certain
disclosures of your health information. The time period covered
by the accounting is limited. Your request must be in writing. If
you request an accounting more often than once every twelve (12)
months, we may charge you a fee to cover the costs of preparing
the accounting. For more information about this right, see 45 C.F.R.
§ 164.528.
Right to Request Restrictions. You have
the right to request a restriction or limitation on the health information
about you that we use or disclose. Your request must be in writing.
Please be aware that we are not required to agree to your request
for restrictions. If we agree to your request for a restriction,
we will comply with it unless the information is needed for emergency
treatment. For more information about this right, see 45 C.F.R.
§ 164.522.
Right to Revoke Authorization. You have
the right to revoke your authorization to use or disclose health
information, except to the extent that action has been taken in
reliance upon your authorization. Your request must be in writing.
Right to Request Alternative Method of Contact. You
have the right to request that we communicate with you about medical
matters in a certain way or at a certain location. Your request
must be in writing. We will agree to the request to the extent that
it is reasonable for us to do so. For example, you may request that
we use an alternative address for billing purposes. For more information
about this right, see 45 C.F.R. § 164.522(b).
Complaints
If you believe your privacy rights have been violated, you may complain
to RxParadigm and to the Department of Health and Human Services.
You may make a complaint to us by contacting RxParadigm's Chief Privacy
Officer at the address or phone listed below. You will not be retaliated
against for filing a complaint.
RxParadigm's Obligations
RxParadigm is required to:
- maintain the privacy of protected health information;
- provide you with this Notice of our legal duties and privacy
practices with respect to your health information;
- abide by the terms of the Notice of Privacy Practices currently
in effect;
- notify you if we are unable to agree to a requested restriction
on how your health information is used or disclosed;
- accommodate reasonable requests you may make to communicate
health information by alternative means or at alternative locations;
- obtain your written authorization to use or disclose your health
information for reasons other than those identified in this Notice
and permitted by law; and
- comply with your state's laws if they provide you with greater
rights over your health information or provide for more restrictions
on the use or disclosure of your health information.
RxParadigm reserves the right to change the terms of this Notice,
our privacy practices, and to make the new provisions effective for
all protected health information we maintain. You may contact your
local RxParadigm location or RxParadigm's Chief Privacy Officer at
the address or phone listed below to obtain a revised Notice of Privacy
Practices.
Uses or Disclosures of Your Health Information
Treatment. We may use and disclose health
information about you to provide you with pharmaceutical care or
other medical treatment or services. To this end, we may communicate
with other health care providers regarding your treatment and coordinate
and manage your health care with others. For example, information
related to your treatment may be obtained by a health care provider,
such as a pharmacist, nurse, respiratory therapist, or other person
providing health services to you, and will be recorded in your medical
record. This information is necessary for health care providers
to determine what treatment you should receive. Health care providers
also may record actions taken by them in the course of your treatment
and note how you responded to the actions
Payment. We may use and disclose health
information about you to others for purposes of receiving payment
for treatment and services that you receive. For example, a bill
may be sent to you or a third-party payor, such as Medicare, an
insurance company, or a health plan. The information on the bill
may include information that identifies you, your diagnosis, and
treatment or supplies used in the course of your treatment. In some
instances, we may disclose health information about you to an insurance
plan before you receive certain health care products or services,
to determine whether the insurance plan will pay for the particular
product or service.
Health Care Operations. We may use and
disclose health information about you for administrative and operational
purposes. Members of the risk management or quality improvement
teams may use health information about you to assess the care and
outcomes in your case and others like it. The results will be used
internally to continually improve the quality of care for all patients.
For example, we may combine medical information about many patients
to evaluate the need for new products, services, or treatments.
We may disclose information to health care professionals, students,
and other personnel for review and training purposes. We also may
combine health information we have with other sources to see where
we can make improvements. We may remove information that identifies
you from this set of health information to protect your privacy
and to allow others to use the information to study health care
without learning the identity of the specific patients.We may also
use and disclose medical information to:
- evaluate the performance of our staff and your satisfaction
with our services;
- learn how to improve our facilities and services;
- determine how to continually improve the quality and effectiveness
of the health care we provide; and
- conduct training programs or review competence of health care
professionals.
Organized Health Care Arrangement. An
organized health care arrangement is a clinically integrated care
setting in which individuals typically receive health care from
more than one health care provider. We may participate in organized
health care arrangements with long-term care facilities, hospice,
or other health care facilities in connection with the services
we furnish to patients in such settings. Health information may
be shared between the participants in the organized health care
arrangement for the health care operations of the arrangement.
Individuals Involved in Your Care or Payment for Your
Care. We may release health information about
you to a family member or friend who is involved in your medical
care. We also may give information about you to someone who
helps pay for your care. If you do not specifically inform us
of individuals who are to be excluded from involvement in your
care or payment for your care, we will assume that we have your
permission to release health information about you to family
and friends as provided above. In addition, we may disclose
health information about you to an entity assisting in a disaster
relief effort (such as the Red Cross) so that your family can
be notified about your condition, status, and location
Business Associates. We provide some
services through contracts with business associates, such as accountants,
consultants, and attorneys. When such services are contracted, we
may disclose health information about you to our business associates
so that they can perform the tasks that we have assigned to them.
To protect your health information, we require the business associate
to appropriately safeguard health information about you.
Appointment Reminders. We may use health
information about you to provide appointment or prescription reminders.
Alternative Treatments. We may use health
information about you to provide you with information about alternative
treatments or other health-related benefits and services that may
be of interest to you.
Future Communications. We may communicate
with you via newsletters, mailings, or other means regarding treatment
options, health-related information, disease-management programs,
wellness programs, or other community-based initiatives or activities
in which we are participating.
Required by Law. We may use and disclose
health information about you as required by federal, state, or local
law. For example, we may disclose health information for the following
purposes:
- for judicial or administrative proceedings pursuant to legal
authority;
- to report information related to victims of abuse, neglect,
or domestic violence; and
- to assist law enforcement officials in their law enforcement
duties.
Public Health. We may use or disclose
health information about you for public health activities such as
assisting public health authorities or other legal authorities to
prevent or control disease, injury, or disability, or for other
health oversight activities.
Research. We may use or disclose health
information about you for research purposes under certain circumstances.
For example, we may disclose health information about you to a research
organization if an institutional review board or privacy board has
reviewed and approved the research proposal, after establishing
protocols to ensure the privacy of your health information.
Health and Safety. We may use or disclose
health information about you to avert a serious threat to your health
or safety or any other person pursuant to applicable law.
Medical Examiners and Others. We may
use or disclose health information about you to medical examiners,
coroners, or funeral directors to allow them to perform their lawful
duties. If you are an organ or tissue donor, we may use or disclose
health information about you to organizations that help with organ,
eye, and tissue donation and transplantation.
Food and Drug Administration (FDA). We
may use or disclose health information for purposes of notifying
the FDA of adverse events with respect to food, supplements, product,
and product defects, or post marketing surveillance information
to enable product recalls, repairs, or replacements.I
nformation Not Personally Identifiable. We
may use or disclose health information about you in ways that do
not personally identify you or reveal who you are.
Government Functions. We may use or disclose
health information about you for specialized government functions,
such as protection of public officials, national security and intelligence
activities, or reporting to various branches of the armed services.
Workers Compensation. We may use or disclose
health information about you to comply with laws and regulations
related to workers compensation.
Correctional Institutions. If you are
an inmate of a correctional institution or under the custody of
a law enforcement official, we may use or disclosure health information
about you. Such information will be disclosed to the correctional
institution or law enforcement official when necessary for the institution
to provide you with health care and to protect the health and safety
of others.
Affiliated Covered Entity. We are part
of an affiliated covered entity with other entities that are under
common ownership or control. The affiliated covered entity treats
itself as a single entity for purposes of using and disclosing health
information about you.
Contact Information
If you have any questions, requests, or concerns about your RxParadigm-related
health information rights or our use and disclosure of health information,
please contact: Chief Privacy Officer, RxParadigm, Inc., 4014 Wedgeway
Court, Earth City, MO 63045
Toll Free Phone: 1-(877) 797-2723 |
