Privacy Notice – This written notice in compliance with the requirements of the Health Insurance Portability and Accountability Act (HIPAA), and the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 and 45 CFR §155.260, is made available from Firstsource Solutions USA, LLC dba MedAssist (“MedAssist”) to an individual or the individual’s personal representative that describes the uses and disclosures of Protected Health Information (“PHI”) and Personally Identifiable Information (“PII”) that may be made by MedAssist Certified Application Counselors.
Protected Health Information (“PHI”) – Individually identifiable health information that is or has been electronically maintained or electronically transmitted by a Covered Entity, as well as such information when it is transmitted or maintained in any other form or medium that is created or received by a health care provider, health plan, employer, or health care clearinghouse; and relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual.
Personally Identifiable Information (“PII”) – Any information about an individual including, but not limited to, education, financial transactions, tax information, medical history, and criminal or employment history, and information which can be used to distinguish or trace an individual’s identity, such as their name, social security number, date and place of birth, mother’s maiden name, biometric records, etc., including any other personal information, which is linked or linkable to an individual.
How we may use your information:
For Payment. We will use and disclose your information for activities that are necessary to receive payment for hospital services, such as determining insurance coverage, billing, payment an collection, claims management, and medical data processing. MedAssist is engaged by a hospital to provide the Certified Application Counselor services you are receiving. The hospital pays MedAssist a fee for providing the Certified Application Counselor services to you. In connection with providing the services, MedAssist may disclose your PHI or PII directly to a hospital. This may include your name, your insurance plan carrier and number if you ultimately obtain insurance.
Health Coverage Applications. MedAssist, as a Certified Application Counselor, as permitted by law, may use or share your information with the Health Insurance Exchange and Health Insurance Marketplace in order to provide options for preparing, completing and updating health coverage applications.
Judicial or Administrative Proceeding. We may disclose your health information in response to a legal court or administrative order, a subpoena, discovery request, civil or criminal proceedings, or other lawful process.
Law Enforcement. We may release your health information if asked to do so by a law enforcement official or if we have a legal obligation to notify the appropriate law enforcement or other agencies: In response to a court order, subpoena, warrant, summons or similar legal process, in emergency circumstances to report a crime.
National Security. We may disclose your health information to federal official(s) for national security activities and for the protection of the President and other Heads of State.
Other uses and disclosures of your information:
Other uses and disclosures of your information not covered by this notice as it relates to HIE will be made only with your written authorization. If you provide us with authorization to use or disclose your health information, you may revoke that authorization in writing at any time. When we receive your written revocation we will no longer use or disclose your information for the purpose of that authorization.
You may file a complaint with MedAssist or with the Secretary of the Department of Health and Human Services if you believe that we have not complied with our Privacy Notice. To file a complaint with MedAssist, contact the MedAssist Privacy Office at 1.800.736.2107 ext 53107 or by emailing email@example.com.