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.
[Counsel to confirm the correct covered entity/business associate structure among 1500 Park LLC (Bivvy Health), the treating providers, and DrCare247, and to confirm this Notice is issued by the appropriate party. The description below is a starting draft.]
Our commitment
We are required by law to maintain the privacy of your protected health information (PHI), to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
How we may use and disclose your health information
Treatment
To provide and coordinate your care — for example, connecting you to a treating provider through DrCare247 and enabling that provider to deliver a visit.
Payment
To bill and collect for membership and services, including working with our payment processor.
Health care operations
To run and improve the service, including security, quality, and administration, consistent with HIPAA.
Business associates
We may share PHI with vendors who perform services for us; each is bound by a Business Associate Agreement to protect your information.
Uses and disclosures that require your authorization
Most uses and disclosures not described in this Notice will be made only with your written authorization, which you may revoke. We do not sell PHI and do not use PHI for marketing or advertising without your authorization.
Your rights
- Access: request a copy of your health information.
- Amendment: ask us to correct information you believe is wrong or incomplete.
- Accounting of disclosures: request a list of certain disclosures we have made.
- Restrictions: request limits on how we use or share your information.
- Confidential communications: ask us to contact you in a specific way or place.
- Paper copy: request a paper copy of this Notice at any time.
- Breach notification: be notified if there is a breach of your unsecured PHI.
Complaints
If you believe your privacy rights have been violated, you may contact us at privacy@bivvyhealth.com or file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
Changes to this Notice
We may change this Notice and make the new terms effective for all PHI we maintain. The current Notice will be posted here with its effective date.
Contact us
Questions about this document can go to support@bivvyhealth.com or, for privacy matters, privacy@bivvyhealth.com.