Notice of Privacy Practices

EFFECTIVE DATE

This Notice of Privacy Practices (“Notice”) is effective March 30, 2021.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

CONTACT PERSON

Bridge Diagnostics, LLC’s Chief Compliance Officer is the contact person for all issues and complaints regarding your health information and privacy rights. If you have any questions or concerns about this Notice, please contact the Chief Compliance Officer at:

U.S. Mail and Overnight Delivery:

Bridge Diagnostics ATTN: Jessenia Cornejo

110 Theory, Suite #150, Irvine, CA 92617

 

Toll-Free Number: (800) 803-1611

WHO WILL FOLLOW THIS NOTICE

This Notice describes the privacy practices described in health information privacy practices followed by the members of Bridge’s workforce.

YOUR HEALTH INFORMATION

Health information that Bridge has may include information received or created by Bridge, may be in the form of written or electronic records or spoken words, and may include information about your health history, test results, related billing activity, and any similar types of health-related information about you. We will refer to all of this information throughout this Notice as “Your Health Information.”

 

This Notice provides a summary of the ways we may use and disclose health information about you, and describes your rights and our obligations regarding the use and disclosure of that information.

USES AND DISCLOSURES OF HEALTH INFORMATION

We use, share and disclose information in a number of ways connected to your treatment, payment for your care, and our health care operations.  We also use, share, and disclose information as permitted or required by law, as listed below.  Not every use or disclosure in a category will be listed in this Notice, but, all of the ways we may use and disclose information will fall within one or more of these categories.

 

 

Uses and Disclosures that Do Not Require Your Authorization

We may use and disclose Your Health Information:

·          Correctional Facilities: To a correctional facility if you are an inmate.

·          Information Not Personally Identifiable and Limited Data Sets: As information that is not generally identifiable in which certain identifiers (such as your name and address) are removed.

·          To Report Abuse, Neglect, or Domestic Violence: To government authorities authorized to receive reports of abuse, neglect, or domestic violence, including child abuse.

·          To Contractors: To contractors who perform activities on behalf of Bridge. We require these contractors to protect the privacy, security, and confidentiality of the information.

We may disclose Your Health Information with the Secretary of the Department of Health and Human Services for purpose of determining Bridge’s compliance with any of the HIPAA rules.

Your Choices

For certain health information, you can tell us your choices about what we share.

Opportunity to Agree or Object

In the situations below, you have both the right and choice to tell us to:

 

 

If you are not able to tell us your preference, for example if you are unconscious, then we may go ahead and share information about you if we believe it is in your best interest.

 

For all other categories, you can tell us your choices about what we share.

 

Your Authorization

For uses and disclosures not described above, we will need your permission or authorization, including in the situations below where we never share your information unless you give us written permission:

 

 

If you sign an authorization, then you may take it back (or revoke it) at any time, although this will not affect information that we used and disclosed in reliance on the authorization.  Usually this must be in writing.

 

Situations involving Fundraising

  We may not use or disclose PHI for fundraising purposes without valid authorization, unless the information disclosed is limited to general information and is only shared with a Business Associate or institutionally related foundation for the purpose of raising funds for Bridge’s benefit, in which case, we may contact you for fundraising efforts, but you can tell us not to contact you again.

 

SENSITIVE CONDITIONS

Certain other types of health information have additional protections under state or other federal law. For example, health information about HIV/AIDS, sexually transmitted diseases, mental health, genetic testing, and substance use disorder is treated differently from other types of health information. These categories of information generally will not be disclosed without your authorization (except in certain situations).

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights regarding Your Health Information maintained by Bridge. To exercise any of these rights, please contact our Chief Compliance Officer at the contact information provided above.

·          Right to See and Copy: You may ask to see or get a paper or electronic copy of Your Health Information about you or a summary of the information. You must submit your request in writing. We may charge a reasonable fee based on our cost. Sometimes we may say no to your request, and we will tell you why.  If we say no, then you may ask for a review in many situations.

 

We may deny your request to inspect or obtain copies of Your Health Information in certain limited circumstances. If you are denied copies of or access to health information that we keep about you, you may ask that our denial be reviewed. If the law gives you a right to have our denial reviewed, we will select a licensed health care professional to review your request and our denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of the review.

 

 

We may deny your request if you ask us to amend information that:

We did not create, unless the person or entity that created the information is no longer available to make the amendment.

Is not part of the health information that we keep.

You would not be permitted to inspect and copy.

Is accurate and complete.

 

 

 

Your request must be in writing and specify how or where you wish to be contacted.

 

 

CHANGES TO THIS NOTICE

We reserve the right to change this Notice anytime. We can have the new Notice apply to all Your Health Information we have about you as well as any health information we create or receive in the future. We will post the current Notice on our website and at our laboratory offices. The new Notice will have an effective date in the top right hand corner , which will not be earlier than the date on which the notice is printed.

COMPLAINTS

BRIDGE’S RESPONSIBILITIES