THIS NOTICE DESCRIBES HOW PERSONAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
We value the privacy of your medical information
PRN™ is committed to protecting the privacy of your personal information. We strive to use only the minimum amount of your personal information necessary for the purposes described in this notice.
We are not required by law to maintain the privacy of your health information, or to give you this Notice of our legal duties, our privacy practices, and your rights. We are required by most providers and referral agencies to uphold these standards that they are obligated to by law.
We promise to follow the terms of our most current Notice. When we disclose information to other persons and companies to perform services, we will require them to protect your privacy. There are other laws we will follow that provide additional protections, such as laws related to mental health, alcohol, and other substance abuse, and HIV/ AIDS.
This notice covers the following sites and people:
All persons who arrange, purchase, or receive services provided by this agency or service coordinated transactions to the extent disclosure is given.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
We may use and disclose limited information so that we can receive payment for the services that we have provided. We may share this information with your referral source, services providers, insurance company or a third party used to process billing information. We may contact your insurance company to verify what benefits you are eligible for, to obtain prior authorization, and to tell them about your treatment to make sure that they will pay for your care. We may disclose information to third parties who may be responsible for payment, such as family members, or to bill you with your written consent. We may disclose information to third parties that help us process payments, such as billing companies (claims processing companies and collection companies).
Limited information about you may be used in the census report; this information is not applicable at this time.
We may disclose your information with your permission for research that has been approved by yourself (if age 18 or older) or by a guardian or other legally authorized representative for the right to evaluate the research proposal and establish standards to protect the privacy of your information.
Required by Law, Legal Proceedings, Health Oversight Activities, and Law Enforcement:
We will disclose your information when we are required to do so by federal, state and other law. We will disclose your information when ordered by a court of jurisdiction or administrative proceeding, such as subpoena, warrant, summons, or other lawful process. We may disclose information to a law-enforcement official to identify or locate suspects, fugitives, witnesses, victims of crime, or missing persons. We may disclose information to a law enforcement official about a death we believe may be the result of criminal conduct or about criminal conduct that may have occurred on our premises. We may disclose information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections and licensure.
Military and Veterans:
If you are a member of the armed forces, your information may be released as required by military command authorities. If you are a member of the foreign military personnel, your medical information may be released to the appropriate foreign military authority.
Your Written Authorization:
Other uses and disclosures of your information not covered by this Notice, or the laws that govern us, will be made only with your written authorization. You may revoke your authorization in writing at any time, and we will discontinue future uses and disclosures of your information for the reasons covered by your authorization. We are unable to take back any disclosures that we already made with your authorization, and we are required to retain the records of the service that we provided for you.
YOUR PRIVACY RIGHTS REGARDING YOUR INFORMATION
Right to Get a List of the Disclosures We Have Made
Right to Request a Restriction on Certain Uses or Disclosures
CHANGES TO THIS NOTICE OF PRIVACY PRACTICES
Providers Resource Network®