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Privacy Statement

OUR WEBSITE PRIVACY POLICY

The Prospect Medical Holdings, Inc. family of companies is committed to maintaining the privacy of those who communicate with us through our website. This Privacy Statement discloses our website information gathering and dissemination practices and lets you know what happens to any information that we collect. We reserve the right to change this Privacy Statement without notice to our users. Any use of our website is subject to our Terms of Use.

SUMMARY OF NOTICE OF PATIENT PRIVACY PRACTICES

The Notice of Privacy Practices ("Notice") covers services provided to you by Prospect Medical Group and all subsidiaries and affiliates (hereinafter referred to as "Prospect Medical Group"). We are required by law, the Health Insurance and Portability and Accountability Act (HIPAA), to maintain the privacy of protected health information and to provide you with the Notice of our legal duties and privacy practices with respect to protected health information. "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

The Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations. Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law. The Notice also describes your rights to access and control your protected health information. Further, the Notice informs you of your rights to complain to the Secretary of Health and Human Services or us, if you believe your privacy rights have been violated by us.

We are required to abide by the terms of the Notice. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. You can always request a written copy of our most current privacy notice by calling the Privacy Officer at (714) 796-5900.

NOTICE OF PATIENT PRIVACY PRACTICES

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.

If you have any questions about this Notice, please contact our Privacy Officer at (714) 796-5900

Prospect Medical Group May Use and/or Disclose Your Protected Health Information for the Following Purposes:

Treatment: We may use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party, consultations with another health care provider, or your referral to another health care provider for your diagnosis and treatment. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you.

Payment: We may use your protected health information, as needed, to obtain or provide payment for your health care services, including disclosures to other entities. For example, we may need to tell your health plan about a treatment you are going to receive in order to obtain prior approval for the services or to determine whether your health plan will cover the treatment.

Healthcare Operations: We may use or disclose your protected health information, as needed, in order to support the business activities of your health care provider's practice. These activities include, but are not limited to: quality assessment and improvement activities; reviewing the competence or qualifications of health care professionals; training of medical students; securing stop-loss or excess of loss insurance; obtaining legal services or conducting compliance programs or auditing functions; business planning and development; business management and general administrative activities, such as compliance with the Health Insurance Portability and Accountability Act; resolution of internal grievances; due diligence in connection with the sale or transfer of assets of your health care provider's practice; creating identified health information; and conducting or arranging for other business activities.

Business Associates: We will share your protected health information with third party "business associates" that perform various activities (e.g., billing, transcription services, accounting services, legal services) for Prospect Medical Group. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

In addition, we may disclose your protected health information to another provider, health plan, or health care clearinghouse for limited operational purposes of the recipient, as long as the other entity has, or has had, a relationship with you. Such disclosures shall be limited to the following purposes: quality assessment and improvement activities, population-based activities relating to improving health or reducing health care costs, case management, conducting training programs, accreditation, certification, licensing, credentialing activities, and health care fraud and abuse detection and compliance programs.

Prospect Medical Group May Use and/or Disclose Your Protected Health Information, Without Your Written Authorization, For the Following Purposes:

  • To a public health agency, for purposes such as to prevent or control disease, injury and disability
  • To health oversight authorities for activities authorized by law, including inspections, investigations, audit, licensure or disciplinary actions.
  • As required by law, to comply with a court or administrative order, subpoena, warrant or similar lawful process; if necessary to protect public health or welfare; regarding a victim of a crime if, under certain circumstances, we are unable to obtain the person's agreement; to report death that we believe may be the result of criminal conduct; in case of suspected child abuse, neglect or domestic violence
  • To provide information about you to worker's compensation programs when your health condition arises out of a work-related illness or injury.
  • To coroners, medical examiners, or funeral directors for identification of an individual, the determination of the cause of death, and for burial activities.
  • To organ procurement organizations in order to facilitate organ, eye or tissue donation, and transplantation.
  • For research activities, only under certain limited circumstances because all research projects are subject to a special review process.
  • For specialized government functions, such as, if you are a member of the armed forces; for intelligence, counterintelligence or other national security activities; if you are an inmate of a correctional institution or under custody of a law enforcement official as may be necessary to provide information about your general health status.
  • To prevent a serious threat to the health or safety of you or other individuals.
  • In emergency situations, to render emergency treatment to you; to assist a disaster relief organization.

Uses and Disclosures that May Be Made With Your Written Authorization and/or Opportunity to Object:

Individuals Involved in Your Care or Payment for Your Care: Unless, you object we may release medical information about you to a friend or family member who is involved in your medical care or who helps to pay for your care.

Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke this authorization, at any time, in writing, except to the extent that your health care provider or the provider's practice has taken an action in reliance on the use or disclosure indicated in the authorization.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

You have the right to inspect and copy your protected health information. This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A "designated record set" contains medical and billing records and any other records that your health care provider and the practice use for making decisions about you. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request.

Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and protected health information that is subject to law that prohibits access to protected health information.

We may deny your request to inspect and copy your protected health information in certain limited circumstances. If you are denied access to your health information, you may request that the denial be reviewed.

You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Your health care provider is not required to agree to a restriction that you may request. If your health care provider believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If your health care provider does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your health care provider.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Privacy Officer.

You may have the right to have your provider amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Privacy Officer to determine if you have questions about amending your designated record set.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice. It excludes disclosures we may have made to you, for a facility directory, to family members or friends involved in your care, or for notification purposes, or disclosures for which you have signed an authorization. You have the right to receive specific information regarding these disclosures that occurred after April 14, 2003. You may request a shorter timeframe. The right to receive this information is subject to certain exceptions, restrictions and limitations.

You have the right to obtain a paper copy of this Notice from us, upon request, even if you have agreed to accept this Notice electronically.

COMPLAINTS

You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our Privacy Officer of your complaint. We will not retaliate against you for filing a complaint.

You may contact our Privacy Officer, in writing, at Prospect Medical Group, 1920 E. 17th St. Suite 200, Santa Ana, CA 92705 or by calling (714) 796-5900 for further information about the complaint process.

This notice is effective April 14, 2003.

WEBSITE SECURITY

Certain uses of our website may require you to give us unique identifiers in order to access specific areas of the site. These identifiers may include, as appropriate, subscriber identification number, provider identification number, employer identification number, and/or an assigned personal identification number (PIN). We utilize these unique identifiers to verify the user's identity and eligibility, in order to protect against the release of sensitive or personally identifiable information to unauthorized users.

While we have security measures in place to protect against the loss, misuse and/or unauthorized access of personal information, you must take responsible and appropriate steps to safeguard your identification numbers to help protect your privacy.

We aim to protect and keep confidential all information that is voluntarily provided to us through this website, and to treat such information with the same consideration and confidentiality as any information sent to us by the U.S. mail or communicated to us by telephone. The nature of the Internet, however, prevents us from guaranteeing the confidentiality of information we receive through our website or via eMail.

OUR INFORMATION GATHERING PRACTICES

We will not collect personally identifiable information about you unless you or your representative provides us that information voluntarily. Personally identifiable information means data unique to the user, such as a name, address, eMail address, social security number, date of birth, or telephone number. We may collect personally identifiable information about you from you or your representatives on application forms, through requests for information, products or services, or in order to deliver requested materials and information about us to you, respond to your questions, or deliver a product or service. We also use your contact information to contact you when necessary. Users may opt-out of receiving future mailings? see the How to Opt-Out or Make Changes section below for more information.

If you provide personally identifiable information to us voluntarily through our website, we will not sell, license or transmit that information outside of our organization and those affiliated companies involved in administering or providing services for us, unless you or your representative expressly authorize us to do so.

We will disclose personally identifiable information in compliance with applicable laws and regulations and will require the recipient to protect the information and use it only for the purposes provided.

We utilize your Internet Protocol address to help diagnose problems with our server and to administer our site. An Internet protocol address is a number that automatically identifies the computer/machine you have used to access the Internet, the way a phone number identifies you on the phone system. The address enables our server to send you the web pages that you want to visit, and it may disclose the server owned by your Internet Service Provider.

We also use cookies. Cookies are pieces of information that a website transfers to a user's computer for purposes of storing information about a user's preferences. Just as many major websites use cookies as a standard practice to provide useful features when a user visits the site, we use cookies to deliver content specific to your interests. Cookies in and of themselves do not personally identify users, although they do identify a user's computer. A user can set his or her browser to refuse cookies, but then he or she may not be able to take full advantage of the site.

We routinely gather quantitative information on website activity, including the number of users to the site, and the pages visited. No personally identifiable information is collected in this routine activity, and we reserve the right to share such information with others.

HOW TO OPT-OUT OR MAKE CHANGES

At certain locations on our website where we request information about the user, our website provides users the opportunity to opt-out of receiving communications from us. Users may also review and request changes to their personally identifiable information that we have collected, including removing their information from our database in order to prevent receipt of future communications or to halt receipt of our website services, using any of the following options:

  • You can mail your request to the address provided below
  • You can submit your request by calling the following telephone number: (714) 796-5900

HOW TO CONTACT US

If you have any questions about this Privacy Statement, the practices of this website, or your dealings with this website, you may contact us at the following address:

Prospect Medical Holdings, Inc.
1920 E. 17th Street
Santa Ana, CA 92705