Use and disclosure of your health information

The sections below describe the ways Priority Health uses and discloses your health information. Your health information is not shared with anyone who does not have a "need to know" to perform one of the tasks below.

Disclosures to you

Priority Health may use and disclose your protected health information to communicate with you for purposes of customer service or to provide you with information you request. Priority Health may use and disclose information about you for the access and disclosure accounting purposes described in the Your rights regarding your health information section of this Notice.

Disclosures to your family and friends

Priority Health may disclose your protected health information to a family member, friend, or any other person you identify as being involved in your health care or payment for your health care if you agree in advance to the disclosure or we infer from the circumstances that you do not object to the disclosure. Priority Health may also disclose information about you to one of these people if you are not present or if you are unable to provide the required permission because of a medical emergency, accident, or similar situation and we determine that disclosure would be in your best interests. In these situations, Priority Health may disclose only the protected health information directly relevant to the person's involvement with your health care or payment for health care. Priority Health may also disclose your protected health information to anyone based on your written authorization (see section on Other uses of health information - by authorization only).

Treatment

Priority Health may use your health information or disclose it to third parties to coordinate and oversee your medical care. For example, we may disclose information about your prescription medications to your doctor so that s/he can better understand how to provide you medical care.

Payment

Priority Health may use your health information or disclose it to third parties to collect premiums or pay for your medical care. For example, we may use your health information when we receive a claim for payment. Your claim tells us what services you received and may include a diagnosis. We may also disclose this information to another insurer if you are covered under more than one health plan.

Health care operations

Priority Health may use your health information and disclose it to third parties in order to assist in Priority Health's everyday work activities, such as looking at the quality of your care, carrying out utilization review, and conducting disease management programs. For example, your health information (along with other Priority Health members' information) may be used by Priority Health's staff to review the quality of care furnished by health care providers. Priority Health may also use and disclose your health information for underwriting, enrollment, and other activities related to creating, renewing, or replacing a benefits plan. Priority Health may not, however, use or disclose genetic information for underwriting purposes.