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West Hartford Chiropractor | West Hartford chiropractic care | CT | HIPAA Notice

Westside Chiropractic, LLC
 Providing Family Health Care- Naturally 

Richard Duenas, DC, DABCN, FICC

 
(860) 523-5833
557 Prospect Avenue,
West Hartford, CT 06105

HIPAA Notice
 

HIPPA Notification

Westside Chiropractic LLC has always worked to respect the privacy of our patients, this is a standard of care always followed without the need for Federal or State law. Nonetheless, Federal law (HIPAA) requires that we adhere to new guidelines in the handling of your data. All of our employees have read and signed our office policy regarding their role in adhering to HIPAA requirements.

Patients have the following rights regarding their records:

1. The patient may request restrictions on the uses and disclosures of maintained data.

2. The patient may request an accounting of all disclosures of records.

3. The patient may review their records and offer an amendment to them.

4. The patient may request copies of their records (subject to copy fees).

Data maintained in our office files

Demographic data includes the patient’s name, address, phone numbers, birth date, social security number, employer or school, other physicians seen, current and previous medical conditions and other general health information.

Clinical data includes dates treated, conditions treated and information recorded by the physician and therapist regarding your treatment and any general health situations deemed to be applicable.

Insurance data includes the patient’s and the subscriber’s insurance company, group identifier, personal identifier, date of birth, social security number, and employer.

Data maintained in our computer system

Demographic data includes the patient’s name, address, phone numbers, birth date, social security number and employer.

Clinical data includes dates treated, services performed by the doctor and staff, the charges for these services and diagnosis (the reasons you are treated).

Insurance data includes both the patient’s and the subscriber’s insurance company, group identifier, personal identifier, date of birth, social security number, and employer.

*   *   *   *   *   *   *

Westside Chiropractic LLC may need to use the information contained in our systems for the following reasons:

1. To communicate with other doctors, hospitals and clinicians who may be involved with your health care. Your physician will notify you when one of Westside Chiropractics’ doctors deems this necessary.

2. It may be necessary for our staff to contact you regarding your appointments. Our office will only leave a message (stating the reason for our call and asking you to contact our office) on machines/mailboxes which specifically state your name as the owner. Our office will only leave a message (stating no reason but asking you to contact our office) with a co-worker or family member.

3. To bill an insurance carrier supplying coverage for your treatments at Westside Chiropractic LLC.

In order to bill your insurance, it is necessary for Westside Chiropractic to complete all applicable fields on a form HCFA-1500 (attached).  If you are being treated for a work related injury, we attach the doctors’ notes from that day.  If you are being treated for a motor vehicle or other accident related injury, we attach the doctors’ notes from that day.

Some insurance carriers will accept billing information electronically. This eliminates the need for form HCFA-1500. The information sent to your insurance carrier electronically consists of the same data on form HCFA-1500. Our office utilizes an outside billing service, Transaction Methods, Inc., to submit our electronic bills to your insurance carrier.  Transaction Methods, Inc. has signed an agreement with Westside Chiropractic LLC to adhere to all HIPAA standards.

Your permission for Westside Chiropractic LLC to bill your insurance is part of the intake forms you have signed during your first visit to our office.

4. Westside Chiropractic LLC utilizes outside collection services for assistance in resolving unpaid bills.  This requires that we supply your demographic data, the unpaid services which were performed, the dates on which the unpaid services were performed and the unpaid charges.  The diagnosis (reason for treatment) is not disclosed.

5. To communicate with family members and close friends who may have an interest in your care.  In these cases, you must specifically allow Westside Chiropractic LLC to communicate with another person.

6. To communicate with third parties who may have an interest in your care.  This may include your attorney, other parties to legal actions involving your care or other parties designated by you.  In each of these cases, you must specifically allow Westside Chiropractic LLC to communicate with the third party.

7. As required by law, we may disclose your health data to law enforcement agencies.

8. As required by law, we may disclose your health data to public health agencies.

Further information regarding our specific policies dealing with patient privacy may be directed to your doctor or the office manager at (860) 523-5833.