Notice of Clinical Privacy Practices
Last Update: 2019-03-24
This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment, or healthcare operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI. Predictive Laboratories takes the privacy of your (your child’s) health information seriously. We are required by law to keep your health information private and provide you with this Notice of Privacy Practices. We will act according to the terms of this Notice. We reserve the right to change this Notice of Privacy Practices and to make any new practices effective for all PHI that we keep. Any changes made to the Notice of Privacy Practices will be posted on our website: www.predictivelabs.com. PHI is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related healthcare services.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose your PHI for treatment, payment, and healthcare operations. The following examples are not comprehensive, but serve as a description of the types of uses and disclosures that may be made.
Treatment: We may use or disclose your PHI to a physician or other healthcare provider providing treatment to you at the request of you or your physician.
Payment: We may use your PHI, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan undertakes, such as making a determination of your eligibility for coverage.
Healthcare Operations: We may use and disclose your PHI, as needed, in order to support the business activities of our company. These activities include, but are not limited to, quality assessment and improvement activities, accreditation, certification, licensing, competency reviews, and conducting or arranging for other business activities in which our company is involved.
We may share your PHI with third party business associates that perform various activities on our behalf, such as billing. Whenever an arrangement between our company and a business associate involves the use or disclosure of your PHI, we will have a written contract that contains terms to protect the privacy of your PHI.
We are obligated to notify you of an unsecured breach of your PHI. We may also use or disclose your PHI, as necessary, to obtain feedback from you regarding our services, provide you with information about health-related services or notifications that may be of interest to you.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION BASED UPON YOUR WRITTEN AUTHORIZATION
Other uses and disclosures of your PHI will be made only with your written authorization (as per the Omnibus Rule). You may revoke this authorization, at any time, in writing, except to the extent that Predictive Laboratories or its business associates have taken any action in reliance on the use of disclosure indicated in the authorization.
Predictive Laboratories will not use your PHI for any of the purposes listed below unless you specifically authorize us to do so:
Use your PHI for marketing purposes (ex: written case studies or presentations by Predictive Laboratories)
Sell your PHI
Use your PHI for any other purposes not described in this Notice of Privacy Practices
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION THAT MAY BE MADE WITHOUT YOUR CONSENT, AUTHORIZATION, OR OPPORTUNITY TO OBJECT
In an emergency, or if health or safety is seriously threatened
When communication or language is very limited
When there are risks to public health
To conduct health oversight activities
To report suspected child abuse or neglect
To certain government agencies who monitor activity
In connection with court or government cases
To coroners and funeral directors and for organ donation
When required by law, or for law enforcement purposes
YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION
You have the right to review and to ask for a copy of your health information, including the clinical laboratory results ordered through Predictive Laboratories. To request a copy of your results, first contact the healthcare provider who ordered this service. You may also contact Predictive Laboratories at 801-487-6000 and request a copy. You may inspect and obtain a copy of your PHI that is maintained in a designated record set for as long as we maintain the PHI. A “designated record set” contains medical, billing, and any other records that are used for making decisions about you. In certain situations, you may not be allowed to inspect or copy your PHI.
You have the right to request that access to your health information be limited. You may ask us not to disclose any part of your PHI for the purposes of treatment, payment, and healthcare operations. Any request must state the specific restriction requested and to whom you want the restriction to apply. We will consider your request, but are not legally required to accept it. In addition, you may not limit the uses and disclosures that we are legally required to make. However, if you self-pay for our services, you may restrict Predictive Laboratories from disclosing information to health plans concerning tests and/or services.
You have the right to request to receive private communications in another way or at another location. We will agree to reasonable requests.
You have the right to request changes to your health information. This means you may ask for changes to be made (amended) in PHI about you in a designated record set for as long as we keep this information. In certain cases, we may deny your request for a change. If we deny your request, you have the right to file a statement with Predictive Laboratories’ Director of Compliance stating that you disagree. We may prepare a response to your statement and will provide you with a copy of this response. Requests for changes must be in writing.
You have the right to receive a record of when your health information has been disclosed by Predictive Laboratories. You have the right to request an accounting of disclosures for purposes other than treatment, payment, and healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures that have been made to you and for certain other purposes. Requests must be made in writing to Predictive Laboratories’ Director of Compliance and should state the requested time period.
You have the right to obtain a paper copy or electronic copy of this notice.
QUESTIONS OR TO FILE A COMPLAINT
Please contact Predictive Laboratories if you have questions regarding your privacy rights, or to make any of the requests described in this Notice of Privacy Practices. If you believe your privacy rights have been violated, you may file a complaint by contacting Predictive Laboratories’ Director of Compliance by phone, e-mail or mail at:
Predictive Laboratories, LLC
c/o Director of Compliance
2749 E Parleys Way, Suite 100
Salt Lake City, UT 84109-1617
You may also file a written complaint with the Secretary of Health and Human Services (www.hhs.gov/ocr/hipaa). We will not retaliate against you if you file a complaint about our privacy practices.