Horizon Bridge
Notice of 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.
Horizon Bridge (“Horizon Bridge,” “we,” “us”) is committed to safeguarding your protected health information (“PHI”) in accordance with applicable federal and state law, including the Health Insurance Portability and Accountability Act (“HIPAA”). This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your PHI, your rights regarding your PHI, and our legal duties with respect to your PHI. This Notice is posted on our Website and available upon request at all Horizon Bridge care locations.
I. Our Legal Duties and Privacy Commitment
Individually identifiable health information about your past, present, or future physical or mental health condition, the provision of health care to you, or payment for such care is considered PHI. We are required by law to:
- Maintain the privacy of your PHI;
- Provide you with this Notice of our legal duties and privacy practices regarding your PHI;
- Notify affected individuals following a breach of unsecured PHI as required by law;
- Follow the terms of this Notice currently in effect.
We must safeguard your PHI, limit uses and disclosures to the minimum necessary to accomplish the intended purpose, and abide by the terms of this Notice except as permitted by law or with your authorization. We reserve the right to change the terms of this Notice and make the revised Notice effective for all PHI we maintain now or receive in the future. Revised Notices will be posted on our Website and available at our locations.
II. How We May Use and Disclose Your PHI
1. Treatment, Payment, and Health Care Operations
We may use and disclose your PHI without your written authorization for the following purposes:
- Treatment: To coordinate, manage, and provide health care services, including sharing PHI with clinicians, providers, or other entities involved in your care.
- Payment: To bill and collect payment for services provided to you, including disclosures to insurers or third-party payers.
- Health Care Operations: To support internal operations such as quality assessment, performance improvement, compliance activities, audits, and business management.
2. Appointment Reminders and Health-Related Services
We may use your PHI to contact you with appointment reminders, treatment alternatives, or information about health-related benefits and services.
3. Required or Permitted by Law
We may use or disclose PHI when required by federal, state, or local law, including reporting abuse, neglect, judicial proceedings, public health activities, law enforcement requests, and to avert a serious threat to health or safety.
4. Business Associates
We may disclose PHI to third-party service providers (“business associates”) that perform functions on our behalf, provided they agree to protect the privacy of your PHI.
5. Other Allowed Uses Without Authorization
Situations such as workers’ compensation claims or disclosures to coroners, medical examiners, or organ donation organizations may occur without written authorization when permitted by law.
III. Uses and Disclosures Requiring Your Written Authorization
Uses and disclosures of PHI not described above will be made only with your written authorization unless permitted or required by law. You may revoke an authorization in writing at any time, except to the extent that we have already taken action in reliance on that authorization.
IV. Your Rights Regarding Your PHI
You have the following rights regarding PHI that we maintain:
- Right to Inspect and Copy — You may request access to inspect and obtain a copy of your PHI.
- Right to Request Restrictions — You may request restrictions on certain uses and disclosures of your PHI; we are not required to agree except under limited circumstances.
- Right to Confidential Communications — You may request that we communicate with you in a specific way or at a specific location.
- Right to Amend — You may request amendment of your PHI if you believe it is incorrect or incomplete.
- Right to an Accounting of Disclosures — You may request a list of disclosures of PHI we have made.
- Right to a Paper Copy of this Notice — Even if you agreed to receive this Notice electronically, you are entitled to a paper copy.
V. How to Complain About Our Privacy Practices
If you believe your privacy rights have been violated, you may:
- File a complaint with Horizon Bridge using the contact information below; or
- File a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be retaliated against for filing a complaint.
VI. Contact Information
For questions about this Notice, to exercise your rights, or to submit a complaint regarding our privacy practices, contact:
Privacy Officer – Horizon Bridge
Phone: 612-499-4697
Email: info@horizonbridgeaba.com
Mail: 1401 American Blvd E Suite 8 Bloomington, MN 55425
VII. Effective Date
This Notice is effective as of 11/1/2024.
