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Please review it carefully Your Rights 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 record You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
Ask us how to do this. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee. Ask us to correct your medical record You can ask us to correct health information about you that you think is incorrect or incomplete.
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.
Ask us to limit what we use or share You can ask us not to use or share certain health information for treatment, payment, or our operations.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures such as any you asked us to make. Get a copy of this privacy notice You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
We will provide you with a paper copy promptly. Choose someone to act for you If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
We will make sure the person has this authority and can act for you before we take any action. For More Information or to file a complaint if you feel your privacy rights are violated If you have questions and would like additional information, you may contact the Medical Records Department at You can complain if you feel we have violated your privacy rights by contacting us using the information on page one in the downloadable PDF above.
You can file a complaint with the U. We will not retaliate against you for filing a complaint. Your Choices For certain health 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 in a disaster relief situation Include your information in a hospital directory If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest.
We may also share your information when needed to lessen a serious and imminent threat to health or safety. In these cases we never share your information unless you give us written permission: Marketing purposes Most sharing of psychotherapy notes Our Uses and Disclosures How do we typically use or share your health information?
We typically use or share your health information in the following ways. Treat you We can use your health information and share it with other professionals who are treating you. A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization We can use and share your health information to run our practice, improve your care, and contact you when necessary.
We use health information about you to manage your treatment and services. We use your health information to support necessary business, financial and clinical functions. Examples of these functions may include: We give information about you to your health insurance plan so it will pay for your services.
How else can we use or share your health 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: Help with public health and safety issues We can share health information about you for certain situations such as:Important Information. Claim forms, and assistance is available at the Member Services Office, located in the Student Centre Lobby. Additional information on filing claims is also available in the sections below.
Downloadable Forms for Individual Products. Here are some commonly used forms and documents for conducting business with Blue Cross and Blue Shield of Texas (BCBSTX).
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