Notice of Privacy Practices
Effective June 2012
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
Table of Contents
Know Your Rights
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.
The purpose of this notice is to:
Streamlined Medical Solutions’s Responsibilities
Provide you with notice of Streamlined Medical Solutions’ information protection
Explain your rights as an individual about whom Streamlined Medical Solutions maintains
Streamlined Medical Solutions is required to abide by the terms of this notice currently in effect
- Maintaining the privacy of your Protected Health Information,
Notifying you of any breaches of your unsecured Protected Health Information, and
Providing you with notice of our legal duties and privacy practices with respect to
Protected Health Information.
Streamlined Medical Solutions reserves the right to revise the terms of this notice, and to make
the revised terms effective for all Protected Health Information that it maintains. If Streamlined
Medical Solutions revises this notice, we will make the revised notice available on our website.
A person or entity that uses Protected Health Information to perform a service for Streamlined
Medical Solutions. These services may include, but are not limited to:
Health Care Operations
- transaction processing
- data entry
Activities related to Streamlined Medical Solutions’ operations, including but not limited to:
- form transmission
- customer issue resolution
Transmission or processing of referral transactions.
Protected Health Information
Information relating to a patient’s past, present or future health or condition, the provision of
health care to a patient, or payment for the provision of health care to a patient.
Protected Health Information includes, but is not limited to:
- patient name
- Social Security number/member ID
- service date
- diagnosis information
- unique identifiable information
The provision, coordination or management of health care and related services by one or more
health care providers.
3. Privacy Practices
How Streamlined Medical Solutions Uses and Discloses Information About You
Streamlined Medical Solutions will only use and disclose your Protected Health Information
without your authorization when necessary for:
Disclosure to Streamlined Medical Solutions’ Business Associates
- coordination of your health care treatment
- disclosure to your health care provider to the extent permitted by law
- health care operations, or
- as required or permitted by law (please see “Use or Disclosure Required or Permitted by Law” section).
Streamlined Medical Solutions will only disclose your Protected Health Information to Business
Associates who have agreed to maintain the privacy of Protected Health Information as required
Use or Disclosure Requiring Authorization
Streamlined Medical Solutions will not use or disclose your Protected Health Information for
purposes other than those described in this notice. If it becomes necessary to disclose any of
your Protected Health Information for other reasons, Streamlined Medical Solutions will request
for your written authorization from your health care provider. Streamlined Medical Solutions’ will
NOT sell your Protected Health Information.
If you provide written authorization, you may revoke it at any time in writing, except to the extent
that Streamlined Medical Solutions has relied upon the authorization prior to its being revoked.
Use or Disclosure Required or Permitted by Law
Streamlined Medical Solutions may use or disclose your Protected Health Information to the
extent that the law requires the use or disclosure:
- Public Health: For public health activities or as required by the public health authority.
Health Oversight: To a health oversight agency for activities such as audits,
investigations and inspections. Oversight agencies include, but are not limited to,
government agencies that oversee the health care system, government benefit programs,
other government regulatory programs and civil rights laws.
Legal Proceedings: In response to an order of a court or administrative tribunal, in
response to a subpoena, discovery request or other lawful process.
Law Enforcement: For law enforcement purposes, including:
- legal process or as otherwise required by law;
- limited information requests for identification and location;
- use or disclosure related to a victim of a crime;
- suspicion that death has occurred as a result of criminal conduct;
- if a crime occurs on Streamlined Medical Solutions’ premises; or
- in a medical emergency where it is likely that a crime has occurred.
Criminal Activity: As requested by law enforcement authorities, if the use or disclosure is
necessary to prevent or lessen a serious and imminent threat to the health or safety of a
person or the public.
Referral Management: Streamlined Medical Solutions uses Protected Health Information
for referral management to ensure that continuity of care is provided as part of its
products and services.
Health Care Operations: Streamlined Medical Solutions uses and discloses Protected
Health Information to audit and review claims’ payment activity to ensure that claims were
- Treatment: To coordinate treatment by a health care provider.
Streamlined Medical Solutions may disclose your Protected Health Information to a person who
has legal authority to make health care decisions on your behalf.
Disclosure Requiring Opportunity to Object
Streamlined Medical Solutions may disclose your Protected Health Information to a family
member, friend, or other person involved in your care or payment if the information is relevant to
their involvement and you have agreed or had an opportunity to object as obtained by your health
Streamlined Medical Solutions is prohibited from using or disclosing your genetic information for
4. Know Your Rights
Exercising Your Rights
You may exercise any of your below rights by sending us a written request.
Review Your Protected Health Information
You have a right to inspect and obtain a copy of your Protected Health Information.
If you feel your Protected Health Information is incomplete or incorrect, you have the right to
request that it be amended.
Request to Restrict Your Protected Health Information
You can request restrictions on the use and disclosure of your Protected Health Information.
Streamlined Medical Solutions is not required to agree to a requested restriction.
If a restriction request prevents us from providing service to you or from performing payment
related functions, we will not be able to agree to the request.
When necessary, Streamlined Medical Solutions may seek to contact you by calling you at your
home or by sending mailings containing your Protected Health Information to your home. If you
feel that such communications could compromise your safety, you may request in writing an
alternate communication method and/or location.
Streamlined Medical Solutions may require that such a request contain a statement that
disclosure of all or part of the information to which the request pertains could endanger the
individual, and Streamlined Medical Solutions may, if and to the extent that applicable law allows,
request payment for this service.
The patient may decide, for his or her safety, to have correspondence containing his or her
Protected Health Information sent somewhere other than to his or her home, or to have the
information sent via fax rather than mailed.
Accounting of Disclosures
If a disclosure of your Protected Health Information was made for a reason other than treatment,
payment or health care operations, you have a right to receive an accounting of the disclosure.
If the disclosure was made to you, Streamlined Medical Solutions will not provide an accounting.
Receive a Copy / Complaints
You can view and print a copy of this Notice of Privacy Practices through
If you believe that your privacy rights have been violated, you may submit a complaint to
Streamlined Medical Solutions or to the U.S. Secretary of Health and Human Services at any
time. Streamlined Medical Solutions will not retaliate against you for filing a complaint. You may
file a complaint with Streamlined Medical Solutions at admin@StreamlinedMedical.com.
5. Contact Information
Contact Streamlined Medical Solutions
For questions about this notice or your privacy, contact us through