HIPPA Privacy Policy

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We respect your privacy. Depending upon the type of service we provide you, we may be deemed a “business associate” under the Health Insurance Portability and Accountability Act (HIPAA), and as such, we are legally required to maintain the privacy of your protected health information (PHI). As part of our commitment and legal compliance, we are providing you with this Notice of Privacy Practices (Notice). This Notice describes:

• Our legal duties and privacy practices regarding your PHI, including our duty to notify you following a data breach of your unsecured PHI.
• Our permitted uses and disclosures of your PHI.
• Your rights regarding your PHI.

Contact

If you have any questions about this Notice, please contact at support@intelibly.com.

PHI

Your PHI:

• Is health information about you:
  • which someone may use to identify you; and
  • which we keep or transmit in electronic, oral, or written form.
• May include information such as your:
  • name;
  • contact information; or
  • past, present, or future physical or mental health appointments.

Scope

This Notice applies to all the PHI, if any, that we receive from you. We and our employees and other workforce members follow the duties and privacy practices that this Notice describes and any changes once they take effect.

Changes to this Notice

We can change the terms of this Notice, and the changes will apply to all information we have about you. The new notice will be available on request, in our office, and on our website.

Data Breach Notification

We will promptly notify you if a data breach occurs that may have compromised the privacy or security of your PHI. Most of the time, we will notify you in writing, by first-class mail, or we may email you if you have provided us with your current email address and you have previously agreed to receive notices electronically. In limited circumstances when we have insufficient or out-of-date contact information, we may provide notice in a legally acceptable alternative form.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

You have the right to:

• Get a copy of your PHI. You can ask to see or obtain an electronic or paper copy of the PHI that we maintain about you (right to request access). Some clarifications about your access rights:
  • we may require you to make access requests;
  • we may charge a reasonable, cost-based fee for the costs of copying, mailing, or other supplies associated with your request;
  • you may request that we provide a copy of your PHI to a family member, another person, or a designated entity;
  • you may request that we direct a copy of your PHI to a third party of your choice on a standing, regular basis;
  • we may deny your request for access in certain limited circumstances, however, if we deny your access request, we will provide a written denial with the basis for our decision and explain your rights to appeal or file a complaint.
• Ask us to correct your medical record. You may ask us to correct or amend PHI that we maintain about you that you think is incorrect or inaccurate.
• Ask us to limit what we use or share. You have the right to ask us to limit what we use or share about your PHI (right to request restrictions). You can contact us and request us not to use or share certain PHI for treatment, payment, or operations or with certain persons involved in your care. For these requests:
  • we are not required to agree;
  • we may say "no" if it would affect your care; but
  • we will agree not to disclose information to a health plan for purposes of payment or health care operations if the requested restriction concerns a health care item or service for which you or another person, other than the health plan, paid in full out-of-pocket, unless it is otherwise required by law.
• Get a list of those with whom we've shared your PHI. You have the right to request an accounting of certain PHI disclosures that we have made.
• Choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your PHI.
• Request confidential communications. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or at a specific address.
• Make a complaint. You have the right to complain if you feel we have violated your rights. We will not retaliate against you for filing a complaint. You may either file a complaint:
  • directly with us by contacting at support@intelibly.com; or
  • with the Office for Civil Rights at the US Department of Health and Human Services. Visit www.hhs.gov/ocr/privacy/hipaa/complaints/.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, please contact at support@intelibly.com and we will make reasonable efforts to follow your instructions.

In these cases, you have both the right and choice to tell us whether to:

• Share information with your family, close friends, or others involved in your care.
• Share information in a disaster relief situation.

Uses and Disclosures of Your PHI

The law permits or requires us to use or disclose your PHI for various reasons, which we explain in this Notice. We have included some examples, but we have not listed every permissible use or disclosure. When using or disclosing PHI or requesting your PHI from another source, we will make reasonable efforts to limit our use, disclosure, or request about your PHI to the minimum we need to accomplish our intended purpose.

Uses and Disclosures for Treatment, Payment, or Health Care Operations

• Treatment. We may use or disclose your PHI and share it with other professionals who are treating you, including doctors, nurses, technicians, medical students, or hospital personnel involved in your care. For example, we might disclose information about your overall health condition to physicians who are treating you for a specific injury or condition.
• Billing and payment. We may use and disclose your PHI to bill and get payment from health plans or others. For example, we share your PHI with your health insurance plan so it will pay for the services you receive.
• Running our organization. We may use and disclose your PHI to run our practice, improve your care, and contact you when necessary. For example, we may use your PHI to manage the services and treatment you receive or to monitor the quality of our health care services.

Other Uses and Disclosures

We may share your information in other ways, usually for public health or research purposes or to contribute to the public good. For more information on permitted uses and disclosures, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html. For example, these other uses and disclosures may involve:

• Complying with the law. For example, we will share your PHI if the Department of Health and Human Services requires it when investigating our compliance with privacy laws.
• Helping with public health and safety issues. For example, we may share your PHI to:
  • report injuries, births, and deaths;
  • prevent disease;
  • report adverse reactions to medications or medical device product defects;
  • report suspected child neglect or abuse, or domestic violence; or
  • avert a serious threat to public health or safety.
• Responding to legal actions. For example, we may share your PHI to respond to:
  • a court or administrative order or subpoena;
  • discovery request; or
  • another lawful process.
• Addressing workers' compensation, law enforcement, or other government requests. For example, we may use and disclose your PHI for:
  • workers' compensation claims;
  • health oversight activities by federal or state agencies;
  • law enforcement purposes or with a law enforcement official; or
  • specialized government functions, such as military and veterans' activities, national security and intelligence, presidential protective services, or medical suitability.

Last Updated: October 14, 2024