Notice of Privacy Practices
THIS NOTICE DESCRIBES INDI’S PRACTICES AND HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED. PLEASE REVIEW IT CAREFULLY. If you have any questions about this notice, please contact our Privacy Officer at the number and address provided below.
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the tests and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by us. Your doctor and hospital may have different policies or notices regarding their use and disclosure of your medical information.
Uses and Disclosures
The following categories describe different ways that we use and disclose your medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment: We may use medical information about you as part of our process to test your specimens/blood and provide the test results to your physicians, hospitals and other healthcare providers who need access to the test results to treat you, including providers who are part of "organized healthcare arrangements," as permitted under HIPAA.
For Payment: We may use and disclose medical information about you so that the tests you receive may be billed to and payment may be collected from an insurance company or a third party or from you (in certain circumstances.) For example, we may need to give your health plan information about tests you received so your health plan will pay us. We may also tell your health plan about a test you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment. This information may include name, test to be performed, diagnosis code, and ordering physician information. We may request your billing information from you or your physician for these purposes. We may also give your medical information to your other providers so that they may bill for their services, such as other laboratories performing tests for you.
For Health Care Operations: We may use and disclose medical information about you for our internal operations. These uses and disclosures are necessary to run the laboratory and make sure that all of our tests are accurate. For example, we may use medical information to review our tests and services and to evaluate the performance of our staff, including teaching our staff. We may also combine medical information about many patients to develop normal test result ranges. We may remove certain information that identifies you (such as name and address) from your medical information so Indi and others may use it to study health care laboratory tests and develop new or updated tests without learning who the specific patients are.
Disaster Relief: We may disclose medical information about you to an entity assisting in a disaster relief effort.
Research: Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing patients who undergo Xpresys® testing to those who receive biopsies. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its use of medical information, trying to balance the research needs with patients’ need for privacy of their medical information. Before we use or disclose medical information for research, the project will have been approved through this research approval process, but we may, however, disclose medical information about you to people preparing to conduct a research project, for example, to help them look for patients with specific medical needs, so long as the medical information they review does not leave our facility. We will almost always ask for your specific permission if the researcher will have access to your name, address or other information that reveals who you are.
Required By Law: We will disclose medical information about you when required to do so by federal, state or local law.
To Avert a Serious Threat to Health or Safety: We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.
Genetic Testing: If we keep genetic testing information about you, we will release that information only to the state departments that monitor our work or if required by law to release that information. Otherwise, we will give out this information only if you give us your permission in writing.
Organ and Tissue Donation: If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
Military and Veterans: If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.
Workers’ Compensation: We may release medical information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
Public Health Risks: We may disclose medical information about you for public health activities. These activities generally include the following: to prevent or control disease, injury or disability; to report reactions to medications or problems with products; to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; for certain other reasons required by law. We will only make this disclosure if you agree or when required or authorized by law.
Health Oversight Activities: We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
Lawsuits and Disputes: In a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
Law Enforcement: We may release medical information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons or similar process and in certain other limited circumstances.
Coroners and Medical Examiners: We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death.
National Security: We may release medical information about you to authorized federal officials for intelligence, counter-intelligence, and other national security activities authorized by law. We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others, or (3) for the safety and security of the correctional institution.
State Law Restrictions: We will follow any laws of the states where we are located that are more restrictive than the federal restrictions described above. For example, some states prohibit or limit a laboratory's ability to report test results directly to a patient. Some states require that laboratory results be reported directly to a physician while others require that a laboratory obtain prior physician authorization before releasing a test result to a patient.
Other Uses of Medical Information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the tests that we provided to you.
You have the following rights regarding medical information we maintain about you:
Right to Inspect and Copy: Indi will not be permitted to provide direct access to you because of state law restrictions and/or federal regulations, such as the Clinical Laboratory Improvement Act (CLIA), which prohibit direct patient access. However, Indi will forward copies of our records to your physician, hospital or other healthcare provider and you should be able to obtain all your records (including Indi test results) directly from your physician, hospital or other healthcare provider.
In the unlikely event that the state and federal restrictions, including CLIA, permit Indi to provide you with a copy of your medical record, you must submit your request in writing to the address below. We may charge a fee for the costs of copying, mailing or other supplies associated with your request.
Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may request an amendment to your records from your physician, hospital or other healthcare provider. You may ask us to amend the information about you that Indi holds if federal or state law gives you the right to access your medical information directly from Indi. To request an amendment, your request must be made in writing and submitted to the address below. In addition, you must provide a reason that supports your request. We may deny your request for limited reasons, including if the request is not in writing, does not include a reason to support the request, or if state or federal law prohibits us from providing you direct access to your laboratory records.
Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of medical information about you. This list does not include disclosures for treatment, payment, healthcare operations and certain other matters.
To request this list or accounting of disclosures, you must submit your request in writing to the address below. Your request must state a time period which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper, electronically). The first list you request within a 12 month period will be free. For additional lists, we may charge you for the costs of providing the list. 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.
Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing to the address below. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply.
Right to Request Confidential Communications: You have the right to request that we communicate with you about medical and billing matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
To request confidential communications, you must make your request in writing to the address below.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice.
Changes To This Notice
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical and billing information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website.
Questions and Concerns
Your privacy is important to us. If you have any questions or concerns about this notice or your privacy, please contact: Indi, 219 Terry Ave N #100, Seattle WA 98109. Attention Privacy Officer, Phone (206) 576-6300, Fax (206) 576-6350.
If you believe your privacy rights have been violated, you may file a complaint with Indi or with the Secretary of the Department of Health and Human Services (DHHS). To file a complaint with Indi, contact our Privacy Officer at the address and numbers above. To file a complaint with DHHS, write to: Office for Civil Rights, U.S. Department of Health and Human Services, 2201 Sixth Avenue - M/S: RX-11, Seattle WA 98121-1831, Phone (800) 368-1019, Fax (206) 615-2297. DHHS requires that all complaints be submitted in writing within 180 days after you find out about the actions you think are a violation of the privacy laws. You will not be penalized for filing a complaint.