Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Billet Health is committed to protecting your health information. This Notice of Privacy Practices explains how we may use and disclose your protected health information, your rights regarding your health information, and our legal responsibilities.
Protected health information includes information about your past, present, or future health condition, healthcare services, payment for healthcare, or information that can identify you.
Our Responsibilities
Billet Health is required by law to:
- Maintain the privacy and security of your protected health information
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the Notice currently in effect
- Notify you if a breach occurs that may have compromised the privacy or security of your information
How We May Use and Share Your Health Information
Treatment
We may use and share your health information to provide, coordinate, or manage your care.
Example: A nurse, physician, pharmacist, therapist, caregiver, hospice team member, or other member of your care team may share information to coordinate your services.
Payment
We may use and share your health information to bill and receive payment from health plans, Medicare, Medicaid, VA programs, private insurance, or other responsible parties.
Example: We may send information to your insurance company so it can pay for covered services.
Healthcare Operations
We may use and share your health information to run our organization, improve care, train staff, conduct quality reviews, manage services, and contact you when necessary.
Example: We may review patient records to evaluate the quality of care provided by our team.
Other Ways We May Use or Share Your Information
We may also use or disclose your health information when permitted or required by law, including for:
- Public health and safety activities
- Reporting abuse, neglect, or domestic violence
- Health oversight activities
- Legal proceedings and court orders
- Law enforcement purposes
- Workers’ compensation claims
- Organ and tissue donation purposes
- Coroners, medical examiners, or funeral directors
- Research, when approved under applicable law
- Avoiding a serious threat to health or safety
- Specialized government functions, including military, veterans, national security, or protective services
- Compliance with federal, state, or local laws
Communication With Family, Friends, and Caregivers
We may share relevant information with a family member, friend, caregiver, personal representative, or other person involved in your care or payment for your care, unless you object or we determine it is not in your best interest.
If you are unable to tell us your preference, we may share information when we believe it is in your best interest.
Appointment Reminders and Service Information
We may contact you with appointment reminders, follow-up instructions, care coordination updates, or information about health-related services that may be useful to you.
Uses and Disclosures Requiring Your Written Authorization
In most cases, we will need your written authorization before we use or share your health information for:
- Marketing purposes not otherwise permitted by law
- Sale of your health information
- Certain uses and disclosures of psychotherapy notes, if applicable
- Other uses not described in this Notice
You may revoke an authorization in writing at any time, except to the extent we have already relied on it.
Substance Use Disorder Records
If Billet Health maintains records related to substance use disorder treatment that are protected by federal confidentiality rules, those records may receive additional protections under 42 CFR Part 2. We will use and disclose those records only as permitted by applicable federal and state law.
Your Rights
You have the following rights regarding your health information.
Right to See and Get Copies of Your Records
You may ask to inspect or receive a copy of your medical record and other health information we maintain about you. We may charge a reasonable, cost-based fee when permitted by law.
Right to Request Corrections
You may ask us to correct health information you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will explain the reason in writing.
Right to Request Confidential Communications
You may ask us to contact you in a specific way, such as by phone, mail, or at a different address. We will consider reasonable requests.
Right to Request Restrictions
You may ask us not to use or share certain health information for treatment, payment, or healthcare operations. We are not always required to agree to your request, except in certain cases involving services paid in full out of pocket.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we made of your health information. This does not include disclosures for treatment, payment, healthcare operations, or certain other disclosures.
Right to Receive a Copy of This Notice
You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Right to Choose Someone to Act for You
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information.
Right to File a Complaint
You may file a complaint if you believe your privacy rights have been violated. You may contact Billet Health directly or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
Contact for Privacy Questions or Complaints
Billet Health Privacy Officer
6710 N 47th Avenue
Glendale, AZ 85301
Phone: 1-833-224-5538
Email: info@billethealth.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
Changes to This Notice
Billet Health may change this Notice at any time. The revised Notice will apply to all health information we maintain. The current Notice will be posted on our website and available upon request.