Your rights regarding your health information
You have the following rights:
Right to inspect and copy
You have a right to look at and get a copy of health information that may be used to make decisions about your care. This includes medical and billing records, but does not include psychotherapy notes. There are other limited circumstances in which we may deny your request to inspect and copy under Federal and State law. If you are denied access to health information, you may request that the denial be reviewed.
To inspect and copy health information,
contact the Priority Health Compliance Department in writing.
If you request a copy of the information, we may charge a fee for the cost of copying, mailing or other supplies associated with your request.
Right to amend
You have the right to request that Priority Health amend any health information (medical or billing) we have about you. However, Priority Health will not amend any record that:
- It did not create (unless there is a reasonable basis to believe that the creator of the information is no longer available to act on the requested amendment)
- Is not part of the medical or billing information we have about you
- Is not part of information which you would be permitted to inspect and copy
- Is determined by Priority Health to be accurate and complete
To request that we amend your health information, you must
write to the Priority Health Compliance Department and include a reason to support the change.
Right to know about disclosures
You have the right to know when your health information is disclosed to third parties. You can request a list of disclosures going back six years from the date of your request. This list will not include disclosures:
- To carry out treatment, payment or health care operations
- That were made to you
- For national security or intelligence purposes
- To correctional institutions or law enforcement officials
- That were incidental to a use or disclosure that was permitted or required
- That were made with an authorization by the individual
- Of a subset of information called a "limited data set"
- That were prior to April 14, 2003
To request a list of disclosures, you must
send your request in writing to the Priority Health Compliance Department. Your request must specify the time period desired. There will be no charge for the first list you request within a 12-month period. There may be a small charge for any further requests. We will let you know of the cost involved and you may choose to stop or change your request at that time before any costs occur.
Right to request restrictions
You have the right to request a limit on the health information that we use or disclose about you. We are not required by law to agree to your request. If we do agree to your request for restriction, we will comply with it unless the information is needed to provide emergency treatment. To request restrictions, you must
make your request in writing to the Priority Health Compliance Department. In your request, you must tell us:
- What information you want to limit
- Whether you want to limit our use, disclosure or both
- To whom you want the limits to apply
Priority Health will notify you of receiving your request, either in writing or by telephone, of the restrictions Priority Health has put in place.
Right to request confidential communications
Priority Health will agree to any reasonable request asking that you receive information from the health plan by different means or at a different location. For Priority Health to honor this request, the member must clearly state that the disclosure of all or part of that information without the change could be a risk to you.
To request confidential communications, you must
make your request in writing to the Priority Health Compliance Department.
Right to a paper copy of this notice
You have the right to a paper copy of Priority Health's current Notice of Privacy Practices upon request. To obtain a paper copy of this Notice:
