Right to an Accounting of Disclosures. You have the right to request an accounting of certain of the disclosures that we make of your PHI. We may charge you a reasonable fee if you request more than one accounting in any 12-month period.
Right to an Accounting of Disclosures. You have the right to request an accounting or detailed listing of certain disclosures of your health information. The time period covered by the accounting is limited. Your request must be in writing. If you request an accounting more often than once every twelve (12) months, we may charge you a fee to cover the costs of preparing the accounting. For more information about this right, see 45 C.F.R. § 164.528.
Right to an Accounting of Disclosures. You have the right to receive a list of disclosures of your health information that have been made by Fidelis. The list will not include disclosures made for certain types of purposes, such as disclosures for treatment, payment or health care operations or disclosures you authorized in writing. Your request should specify the time period for which you want this list, which can be no longer than six (6) years and may not include dates prior to April 14, 2003. The first time you ask for a list of disclosures in any 12-month period, we will provide it for free. If you request additional lists during a 12-month period, we may charge you a fee to cover our costs in providing the additional lists. You may request a list of disclosures by writing to : Fidelis Care, Member Services, 00-00 Xxxxxx Xxxxxxxxx, Xxxx Xxxx, New York 11374.
Right to an Accounting of Disclosures. You have the right to request an accounting of the disclosures of your health and financial information made by us. This accounting will not include disclosures of health and financial information that we made for purposes of treatment, payment or health care operations pursuant to a written authorization that you have signed.
Right to an Accounting of Disclosures. You have the right to receive a list of instances in which I have disclosed your health information for a purpose other than treatment, payment, or health care operations. To request an accounting of disclosures, you must submit your request in writing. Such accountings are available for disclosures beginning April 14, 2003, and remain available for eight years after the last date of service at Xxxxxxx X Xxxxxxx PhD LLC.
Right to an Accounting of Disclosures. You have a right to request and receive a list of certain disclosures we have made of your protected health information. Your written request must state a time period that may not be longer than the six years prior to the date on which the accounting is requested. The accounting will identify the other persons or entities to which we have disclosed your personal health information. Any accounting includes only disclosures, and will not include uses of your information. In addition, we are not required to provide an accounting of the following disclosures: Disclosures made to carry out treatment, payment and health care operations; Disclosures we made to you or your personal representative; Disclosures we made after obtaining your written authorization; Disclosures made from the patient directory or to persons involved in your care or other notification purposes as provided for under federal law; Disclosures that were incidental to permissible uses and disclosures of your health information; Disclosures for purposes of research, public health or our business operations where your protected health information has been partially de-identified so that it does not directly identify you; Disclosures for national security or intelligence purposes; Disclosures to correctional institutions or law enforcement officers about individuals in their lawful custody; Disclosures that are part of a limited data set. To request an accounting of disclosures, please submit a written request to USFPG Clinical Operations Health Information Management at the address listed at the end of this Notice. You have a right to receive one accounting within every 12- month period at no cost. If you request a second accounting within that 12-month period, we may charge you for the cost of compiling the accounting. We will notify you of the cost involved, and you may choose to withdraw or modify your request at that time before any costs are incurred. Ordinarily we will respond to your request for an accounting within 60 days. If we need additional time to prepare the accounting, we will notify you in writing about the reason for the delay and the date when you can expect to receive the accounting. We may delay providing you with an accounting without notifying you if a law enforcement official or government agency asks us to do so. Right to Request Additional Privacy Protections. You have the right to request that we further restrict the way we use and disclose your healt...
Right to an Accounting of Disclosures. You have the right to request a copy of the required accounting of disclosures that I make of your PHI.
Right to an Accounting of Disclosures. You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in section III of this Notice). On your written request, we will discuss with you the details of the accounting process. You have the right to restrict certain disclosures of Protected Health Information to a health plan if you pay out of pocket in full for the healthcare service. You have the right to be notified if there is a breach of your unsecured PHI. You must sign an authorization form before we can release PHI for any uses and disclosures not described in your Privacy Notice. ( )
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of Health Information for purposes other than treatment, payment and health care operations or for which you provided written authorization. The accounting will exclude certain disclosures, such as those made directly to you, disclosures you authorize, disclosures to friends or family members involved in your care, and disclosures for notification purposes. To request an accounting of disclosures, you must make your request, in writing, to HIPAA Privacy Official at the address listed above. Your request must specify the time period and cannot be longer than two years. The first accounting that you request within a twelve month period will be provided free of charge. You will be charged for the cost of providing addition accountings.
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of Health Information for purposes other than treatment, payment, and health care operations of for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing, to Women’s Global Health of Northern VA, PC.
