Your Information. Your Rights. Our Responsibilities.
This notice describes how information about your medical account and payment record may be used and disclosed and how you can get access to this information. Please review it carefully.
You have the right to:
- Get a copy of your paper or electronic medical account payment record
- Correct your paper or electronic medical account payment record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
You are NOT required to waive your rights to privacy under the Privacy Rule as a condition for obtaining a payment plan (loan) agreement with Medfinancial.
You have some choices in the way that we use and share information as we:
- Tell family about your medical account payment record
- Provide disaster relief
- Market our services and sell your information
Our Uses and Disclosures
We may use and share your information as we:
- Communicate with you about your medical account payment record
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical account payment record
- You can ask to see or get an electronic or paper copy of your medical account payment record and other related information we have about you. Ask us how to do this.
- We will provide a copy or a summary of your medical account payment record information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your record
- You can ask us to correct medical account payment information that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain medical account payment-related information. We are not required to agree to your request, and we may say “no” if it would affect your care.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) of the times we’ve shared your medical account payment information for six years prior to the date you ask, who we shared it with, and why.
- We will include all the disclosures except for those about your medical account payment record, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You have the right to a paper copy of this notice. You may ask us to give you a copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy of this Notice.
Choose someone to act for you
- If you have given someone power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your medical account payment information.
- We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can file a complaint with us by contacting us directly at (855) 729-6339 or by submitting it in writing to Medfinancial, PO Box 32489, Knoxville, TN 37930-2489.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
For certain medical account payment 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, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your care.
- Share information with your parent or guardian if you are a minor or, if you are an emancipated minor, with your designated representative.
- Share information in a disaster relief situation.
If you are not able to tell us your preference, for example, if you are incapacitated, we may go ahead and share your information if we believe it is in your best interest.
In these cases we never share your information unless you give us written permission:
- Marketing purposes
- Sale of your information
Our Uses and Disclosures
How do we typically use or share your medical account payment information?
We typically use or share your medical account payment information in the following ways.
Run our organization
We can use and share your medical account payment information to run our organization or contact you when necessary.
How else can we use or share your medical account information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see Your Rights Under HIPAA.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Address workers’ compensation, law enforcement, and other government requests
We can use or share medical account payment information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
We can share your medical account payment information in response to a court or administrative order, or in response to a subpoena.
- We are required by law to maintain the privacy and security of your protected medical account payment information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not market or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see Notice of Privacy Practices.
Changes to the Terms of 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 upon request, in our office, and on our website.