HIPAA Notice
Notice of Privacy Practices
This notice explains how your health information may be used and shared, and how you can get access to it. Please read it carefully.
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Effective date: [date]
Our promise to you
Your health information is personal. This notice explains how we handle it. We will follow this notice, and we will tell you promptly if a breach happens that may have put your information at risk.
Information we collect
We collect what is needed for your claim: your name and contact details, your insurance details, medical bills, receipts, treatment details, and any reports or prescriptions you give us.
How we use and share your information
- To prepare your claim. We review your documents and prepare them for your insurer.
- To submit your claim. We send your claim to the insurance company you name.
- To run our service. We will only share your health information with a vendor that has agreed in writing to protect it.
- When the law requires it. We may share information if a law, court order or government agency requires us to.
We will not sell your health information or use it for marketing. Any other use requires your written permission, which you may withdraw at any time.
Your rights
- See or get a copy of your health information.
- Ask us to correct your information.
- Ask us to contact you in a particular way or at a particular address.
- Ask us to limit what we use or share.
- Get a list of the times we have shared your information.
- Get a paper copy of this notice at any time.
- Choose someone, such as a family member, to act for you.
- File a complaint if you believe your rights have been violated.
How we protect your information
This website does not collect medical documents or card details. Please do not send them by email or through our contact form. Call us and we will explain the safe way to share them. We limit access to your information to the people who need it to work on your claim.
How to make a complaint
You can complain to us using the details below. You can also complain to the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/complaints. We will never penalize you for making a complaint.
Changes to this notice
We may change this notice. The new version will apply to all information we hold, and it will be posted on this page.
Contact us
Privacy Officer, Expatservices
[Your business address]
Phone: +1 (555) 010-0100
Email: support@expatservices.online