2. Covered Entity
3. Information Collected
Personally Identifiable Information Collected Via the Site
Protected Health Information Collected
As our company and Site are considered a covered entity under HIPAA, we may also collect PII that qualifies as PHI. During your use of the Site we may collect your name, email, address, medicare number, address, and other identifying details that are considered PHI under HIPAA. Additionally, we may collect payment details or any other personal information required to provide you medical treatment or diagnosis.
Whenever you use our Site or Service, we may collect non-identifying information from you, such as your IP address, interactions with the Site and Service, query information, location information, pricing data, research history, location and GPS information, referring URL, browser, application interaction, mobile provider information, operating system, data usage, data transferred, and Internet Service Provider.
4. Use of Your PII
This section explains how we plan on using your PII or any non-identifying information submitted by you. We may use such information:
- To enhance or improve your user experience.
- To improve the Site and Service.
- To email you newsletters as required.
- To understand how you communicate and use our Service or Site.
- To contact and correspond with you and to respond to your inquiries.
5. Use of Your PHI
This section explains how we plan on using your PHI submitted by you. We may use your PHI for the following purposes:
We will use and disclose your PHI to provide, coordinate or manage your healthcare and any related services. This includes the coordination or management of your health care with a third party. In addition, we may disclose your protected health information from time to time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician.
Your PHI will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you, such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for protected health necessity, and undertaking utilization review activities.
Health Care Operations
We may use or disclose, as needed, your PHI in order to conduct certain business and operational activities. These activities include, but are not limited to, quality assessment activities, employee review activities, training of students, licensing, and conducting or arranging for other business activities.
Uses and Disclosures Based On Your Written Authorization
Others Involved in Your Health Care
Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your PHI that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose your PHI to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.
We may use your PHI to contact you with information about treatment alternatives that may be of interest to you. We may disclose your PHI to a business associate to assist us in these activities. Unless the information is provided to you by a general newsletter or in person or is for products or services of nominal value, you may opt out of receiving further such information by telling us using the contact information listed at the end of this notice.
Research; Death; Organ Donation
We may use or disclose your PHI for research purposes in limited circumstances. We may disclose the protected health information of a deceased person to a coroner, protected health examiner, funeral director or organ procurement organization for certain purposes.
Abuse or Neglect
We may disclose your PHI to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your PHI if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.
We may disclose your PHIto a health oversight agency for activities authorized by law, such as audits, investigations and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
Food and Drug Administration
We may disclose your PHI to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations; to track products; to enable product recalls; to make repairs or replacements; or to conduct post marketing surveillance, as required.
We may disclose your PHI for other uses as provided for and as required in accordance with HIPAA.
6. Accessing, Removing, and Viewing Your Information
If you have submitted any PII or PHI to our Site you will be unable to directly access that information. If at any time, you have any questions or wish to review, change, or delete any PII or PHI collected by us, please contact us at email@example.com. For any PHI you have the right to request copies of the PHI collected or you may review the PHI collected, in person at our offices, with limited exceptions. If you wish to review any PHI, you make a written request to us via email at firstname.lastname@example.org or at the address listed below. If you request copies, we will charge you $25.00 for each page and $10.00 per hour to locate and copy your PHI, and any relevanat postage or handling fees. If requested, we can prepare a summary or an explanation of your PHI for a fee.
7. Patient Rights to PHI
Under HIPAA you are affored the following patient rights, in relation to your PHI:
You have the right to request that we amend your protected health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request if we did not create the information you want amended or for certain other reasons. If we deny your request, we will provide you with a written explanation. You may respond with a statement of disagreement to be appended to the information you wanted amended. If we accept your request to amend the information, we will make reasonable efforts to inform others, including people or entities you name, of the amendment and to include the changes in any future disclosures of that information.
You have the right to request that we communicate with you in confidence about your protected health information by alternative means or to an alternative location. You must make your request in writing. We must accommodate your request if it is reasonable, specifies the alternative means or location of communication,and continues to permit us to bill and collect payment from you.
Accounting of Disclosures
You have the right to receive a list of instances in which we or our business associates disclosed your PHI for purposes other than treatment, payment, health care operations. After April 14, 2009, the accounting request will only cover the past six (6) years. We will provide you with the date on which we made the disclosure, the name of the person or entity to whom we disclosed your protected health information, a description of the PHI we disclosed, the reason for the disclosure, and certain other information. If you request this list more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests. For inquiries regarding any fees, please contact us.
You have the right to request that we place additional restrictions on our use or disclosure of your PHI. We are not required to agree to these additional restrictions, but if we do, wewill abide by our agreement (except in an emergency). Any agreement we may make to a request for additional restrictions must be in writing signed by you and us.
8. Cookies and Other Tracking
Our current Site does not currently use any cookies or other tracking. If we decide to employ any tracking we will inform you of the changes.
9. Third Party Access to Your Information
Although you are entering into an Agreement with Capital Coordinatedto disclose your PHI and PII to us, we do use third party individuals and organizations to assist us, including contractors, web hosts, and others to allow you to access the Site and Service.
10. Law Enforcement
You agree that we may disclose your PHI and PII to authorities if compelled to by a court order or subpoena. Additionally, you agree that we may disclose such information if we reasonably believe that you have violated any US laws or the terms of any of our agreements with youor if we believe that a third party is at risk of bodily harm. In the event that we receive a subpoena affecting your privacy, we may elect to notify you to give you an opportunity to file a motion to quash the subpoena, or we may attempt to quash it ourselves, but we are not obligated to do either. We may also proactively report you and release your information without receiving any request to third parties where we believe that it is proper to do so for legal reasons, where your actions violate any laws of the US or any other country having jurisdiction over us, our Site, or the Service. We may release your information under the conditions listed in this paragraph whether it is to individuals or entities and to any state or federal authorities, as required.
11. Commercial, Non-Commercial Communications and Do Not Track
If you decide to provide us with your contact information, you agree that we may send you communications via text and email. However, you may unsubscribe from certain communications by notifying Capital Coordinatedthat you no longer wish to receive these communications, we will endeavour to promptly remove you from our notification listings once we have received that request. We currently do not offer website functionality for you to opt out of any “do not track” listings. If you wish to opt out of certain communications or information collection, please contact us at email@example.com.
12. Third Parties
Capital Coordinatedmay post links to third party websites on our Site, which may include information that we have no control over. When accessing a third party site through our Site or Service, you acknowledge that you are aware that these third party websites are not screened for privacy or security issues by us, and you release us from any liability for the conduct of these third party websites.
13. Security Measures
We make reasonable attempts to protect your PHI and PII by using physical and electronic safeguards. However, as our Service and Site are hosted electronically we can make no guarantees as to the security or privacy of your information. For this reason, we recommend that you use anti-virus software, routine credit checks, firewalls, and other precautions to protect yourself from security and privacy threats.
14. Your California Privacy Rights
15. Age Compliance
We intend to fully comply with US and international laws respecting children’s privacy. Therefore, we do not collect or process any information for any persons under the age of 18. If you are under 18 please do not access the Service or Site.
16. International Transfer
17. Merger and Acquisition
In the event that the Capital Coordinatedis involved in a bankruptcy, merger, acquisition, reorganization or sale of assets, your information may be sold or transferred as part of that transaction. Please be aware that once the information is transferred your privacy rights may change.
18. Notices and Contact
Capital Coordinated Medicine
Telephone: (240) 744-0001
Address:10335 Kensington Parkway Suite G Kensington, MD 20895
If you believe that we may have violated your privacy rights, or you disagree with a decision we have made regarding our access to your protected health information or in response to a request made by you, you may notify us by sending a complaint to the contact information listed above. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
Last Modified: January 25, 2017