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United Rotorcraft is required by law to maintain the privacy of certain confidential health care information (known as Protected Health Information or “PHI”), to provide you and other individuals with a notice of our legal duties and privacy practices with respect to your PHI, and to notify affected individuals following a breach of unsecured PHI. United Rotorcraft is also required to abide by the terms of the version of this notice currently in effect. Your PHI may be stored electronically and is subject to electronic disclosure.
United Rotorcraft may use and disclose PHI for the purposes of treatment, payment and health care operations.
For treatment: We may use and disclose your PHI to provide you with our services. This includes such things as obtaining information about your medical condition and treatment from you as well as from others, such as doctors and nurses who give orders to allow us to provide treatment to you. We may give your PHI to other health care providers involved in your treatment, including hospitals or dispatch centers.
For payment: We may use and disclose your PHI in order to get reimbursed for the services we provide to you, including such activities as submitting bills to insurance companies, making medical necessity determinations and collecting on outstanding accounts. We may provide PHI to entities that help us submit bills and collect amounts owed, such as a collection agency. We may also disclose PHI to other providers who treat you for their own payment purposes.
For health care operations: We may use and disclose your health information for operational purposes. This includes quality assurance activities, licensing, and training programs to ensure that our personnel meet our standards of care and follow established policies and procedures, as well as certain other management functions. In certain situations, we may also disclose PHI to other providers who treat you for their own health care operations.
Health Information Exchange. We may participate in one or more health information exchanges and may use and disclose your PHI through these exchanges for certain purposes described in this notice. For example, we may obtain your information from other participants in a health information exchange that have treated you in order to coordinate your care. We may use a health information exchange to obtain information for payment for the care you receive. We may disclose your health information to an electronic health information registry to report certain diseases or for other public health purposes.
United Rotorcraft may use and disclose PHI without your written authorization as follows:
Any use or disclosure of PHI other than those listed above will only be made with your written authorization. Subject to compliance with limited exceptions, we will not use or disclose psychotherapy notes, use or disclose your PHI for marketing purposes, or sell your PHI unless you have signed an authorization. You may revoke such a written authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that we have already used or disclosed PHI in reliance on that authorization.
As a patient, you have a number of rights with respect to your PHI, including:
The right to access, copy or inspect your PHI: You may inspect and obtain a copy of your health information that we maintain, or direct us to send a copy of your health information to another person designated by you in writing. In most cases we will provide this access to you, or the person you designate, within 30 days of your request. We may also charge you a reasonable fee for the costs of copying, mailing or other supplies associated with your request. In certain cases we may deny your request, and you may appeal certain types of denials. We have available forms to request access to your PHI and we will provide a written response if we deny you access and let you know your appeal rights. If you wish to request access to or a copy of your PHI, you should contact our privacy officer at the address listed at the end of this notice.
The right to confidential communications: You may request a confidential communication of your health information by alternative means or at alternative locations. If you wish to request confidential communications, you should contact our privacy officer at the address listed at the end of this notice.
The right to amend your PHI: You have the right to ask us to amend written medical information that we may have about you. We will generally amend your information within 60 days of your request and will notify you when we have amended the information. We may deny your request to amend your medical information only in certain circumstances, like when we believe the record you have asked us to amend is complete and accurate. If you wish to request that we amend the medical information that we have about you, you should contact our privacy officer at the address listed at the end of this notice.
The right to request an accounting: You may request an accounting (a list) from us of certain disclosures of your PHI that we have made in the six years prior to the date of your request. We are not required to give you an accounting of disclosures for purposes of treatment, payment or health care operations, or for disclosures you authorize. If you wish to request an accounting, you should contact our privacy officer at the address listed at the end of this notice.
The right to request that we restrict the uses and disclosures of your PHI: You have the right to request restrictions on our use or disclosure of your PHI for purposes of treatment, payment or health care operations. Your request must state the specific restriction and to whom you want the restriction to apply. We are not required to agree to those restrictions, unless the disclosure is to a health plan for a payment or health care operation purpose and is not otherwise required by law, and the PHI relates solely to a health care item or service for which we have been paid out-of-pocket in full. If you wish to request a restriction, contact our privacy officer at the address at the end of this notice.
If you have given another individual a medical power of attorney, or if another individual is appointed as your legal guardian or is authorized by law to act on your behalf, that individual may exercise any of the rights listed above for you. We will confirm this individual has the authority to act on your behalf before we take any action.
Internet, Electronic Mail, and the Right to Obtain Copy if Paper Notice on Request: If we maintain a website, we will prominently post a copy of this Notice on our website. If you allow us, we may forward you this Notice by electronic mail instead of on paper. You may always request a paper copy of the Notice, even if you have previously agreed to receive an electronic copy.
United Rotorcraft reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain. Any material changes to the Notice will be promptly posted to our website, if we maintain one. You can get a copy of the latest version of this Notice by contacting our privacy officer.
You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services, if you believe your privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or to the government.
Should you have any questions, comments or complaints, please direct them to our privacy officer:
Privacy OfficerUnited Rotorcraft
March 11, 2021
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