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R. BACON ENTERPRISES, INC.
NOTICE OF PRIVACY PRACTICES
As required by the Privacy Regulations Published According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU
MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
TO YOUR IDENTIFIABLE HEALTH INFORMATION.
PLEASE REVIEW THIS NOTICE CAREFULLY.
This notice is important because it lets you know how R. Bacon Enterprises,Incorporated may use and disclose your protected health information. Also, this Notice explains your rights with respect to that protected health information and R. Bacon Enterprises, Incorporated duties. Protected Health Information (PHI) means individually identifiable healthinformation either that actually identifies the individual or that could reasonably be used to identify the individual. This includes such things as:
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Past, present, or future physical or mental health or condition of an individual.
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The provision of health care to an individual; or
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The past, present, or future payment for, or the provision of, health care to an individual.
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This Notice contains information on the following important topics.
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Uses and disclosures
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Your rights
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The health plan’s duties
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Complaints
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Contact information
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Uses and disclosures R. Bacon Enterprises, Incorporated is permitted to use and disclose certain information for treatment, payment, and health care operations, as follows:
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Treatment – R. Bacon Enterprises, Incorporated may provide health information about you to the physician who is treating you.
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Payment – R. Bacon Enterprises, Incorporated may share information about your insurance coverage to another health plan to coordinate payment of benefits.
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Health Care Operations – The health plan may use PHI in case management.
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Under the privacy rules, we may use and disclose protected health information for a number of other purposes. We are required to provide you with information if we intend to engage in certain activities. These include:
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Appointment Reminders
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Health-Related Benefits and Services
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Release of Information to Family/Friends
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Disclosure Required By Law
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Public Health Risks
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Health Oversight Activities
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Lawsuits and Similar Proceedings
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Law Enforcement
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Serious Threats to Health or Safety
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Military
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National Security
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Workers’ Compensation
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Your Rights Under privacy rules, you have rights with respect to protected health information. These include:
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The right to request restrictions on certain uses and disclosures of protected health information. NOTE: The covered entity is not required to agree to a requested restriction;
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The right to receive confidential communications of protected health information;
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The right to inspect and copy protected health information;
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The right to amend protected health information;
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The right to receive an accounting of disclosures of protected health information; and
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The right to obtain a paper copy of the notice upon request.
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The right to provide an authorization for other uses and disclosures.
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R. Bacon Enterprises, Incorporated Duties R. Bacon Enterprises, Incorporated is required by law to maintain the privacy of your health information. Also, R. Bacon Enterprises, Incorporated must provide you with notice of our legal duties and privacy practices with respect to that information. Our duties and privacy practices include: Making reasonable efforts to limit protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request.
R. Bacon Enterprises, Incorporated is required to abide by the terms of this notice currently in effect. We reserve the right to change the terms of this notice and to make the new notice effective for all protected health information we maintain now and in the future. If we revise this notice you will receive a copy of the new notice in the mail. R. Bacon Enterprises, Incorporated will post a copy of our current notice in our offices in a prominent location at all times.
Complaints
If you believe your privacy rights have been violated, you may make your complaint to us and the Secretary of Health and Human Services. To file a complaint with us, contact our Privacy Officer at (812) 897-5660.
You will not be retaliated against for filing a complaint.
Contact Information
For further information on your privacy rights and this notice contact the HIPAA PRIVACY OFFICER at R. Bacon Enterprises, Inc., 966 N. Baker Road, Boonville, IN 47601 or phone (812) 897-5660.
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