Accountable Care Organization of the North Country, LLC
The Accountable Care Organization of the North Country, LLC has the following three privacy policies:
- HIPAA Notice of Privacy Practices.
1. Web Site Owner.
(a) This online privacy notice discloses information practices for www.aco-nc.com (the “Site”) owned and operated by the Accountable Care Organization of the North Country, LLC (“ACONC”, “our”, “us” or “we”) including what type of personal identifiable information is requested by the Site, how the information is used, and with whom the information is shared. Note that other web sites linked to the Site may be governed by privacy notices containing different information practices applicable to those sites.
(b)ACONC collects certain information from visitors to the Site. This includes, but is not limited to, the home server domain name, e-mail address, type of computer and web browser, what pages visitor accessed, and limited information about search requests. This information is used to solve technical problems and to calculate overall usage statistics.
(c) At times, ACONC will need personal information regarding a customer or a prospect. It is ACONC’s intent to inform you before ACONC collects personal information, such as user’s name and/or address on the Internet. If you tell us that you do not wish to have this information used as a basis for further contact with you, ACONC will respect your wishes.
2. Personal Information That May Be Collected.
(a) Identifying Information. From time to time, ACONC will request a user to provide certain personal identifying information, which may include, but is not limited to: name, postal address, e-mail address, screen name, password, telephone number, facsimile number, method of payment, and credit card number. ACONC may request additional information necessary to establish and maintain customer’s account.
(b) Information from Children. ACONC does not sell products or services for purchase by individuals under eighteen (18) years of age (“Child” or “Children”), and will not knowingly (i) collect or post information from a Child without the consent of the parent or guardian of that Child; or (ii) provide any personally identifying information collected from a Child, regardless of its source, to any third party for any purpose whatsoever.
(c) Lost or Stolen Information. If a username or password used for the purposes contemplated in the Site is lost or stolen, the customer should promptly notify ACONC in order to enable ACONC to cancel the lost or stolen information and to update its records with a changed username and/or password.
3. Uses Made of the Information.
(a) Internal Uses. Personal information collected by ACONC may be used by ACONC for the following non-inclusive list of purposes: to reply to inquiries; handle complaints; provide operational notices and in program record-keeping; analyze statistical analysis of customer’s behavior; product development; to customize the content and layout of the Site; for internal company reviews. ACONC also processes billing and business requests related to Site participation.
(b) Marketing Uses. Unless you elect to “opt-out” pursuant to Paragraph 7 herein, the information you provide to Site may also be collected, used, analyzed and/or processed by ACONC, or selected third parties on ACONC’s behalf, for marketing and other business purposes including providing customers with information about the Site, ACONC products and services, and related information in which the visitor to the Site has indicated an interest.
(c) Stored Information Uses. ACONC stores and retains the information entered on the Site. Stored information is used by ACONC to support visitor interaction with the Site in order to enable ACONC to recommend products, services, or special offers that would be of interest to a visitor to the Site.
4. Disclosure of the Information.
(a) Mergers and Acquisitions. Circumstances may arise where for business reasons, ACONC decides to sell, buy, merge or otherwise reorganize its business. Such a transaction may involve the disclosure of personal identifying information to prospective or actual purchasers, and/or receiving such information from sellers.
(b) Agents. ACONC employs or engages other companies and individuals to perform business functions on behalf of ACONC. These persons are provided with personal identifying information required to perform their functions, but are prohibited by contract from using the information for other purposes. These persons engage in a variety of functions which include, but are not limited to, fulfilling orders, analyzing data, providing marketing assistance, processing credit card payments and providing customer services.
(c) Affiliated Businesses. ACONC works closely with affiliated businesses operating web sites, providing services or selling products on each other’s web sites. Information related to a transaction with an affiliated business is shared with that affiliated business.
(d) Marketing Analysis by Third Parties. ACONC reserves the right to disclose to third parties personal information about its customers for marketing analysis; however, any information disclosed will be in the form of aggregate data that does not describe or identify an individual customer.
(e) Disclosure to Governmental Authorities. ACONC releases personal identifying information when ACONC reasonably believes release is appropriate to comply with law, to inform and cooperate with law enforcement agencies or other governmental authorities, to enforce ACONC agreements, or to protect the rights, property or safety of ACONC customers. ACONC may also release such information in an exchange of information with other companies and/or organizations for the purposes of fraud protection and credit risk reduction.
5. Use of Computer Tracking Technologies.
(a) Tracking of Personal Information. ACONC may collect and/or track certain personal information, including but not limited to the following: (i) the home server domain names, e-mail addresses, type of computer, and type of Internet browser used by visitors to the Site; (ii) e-mail addresses of visitors that communicate with ACONC or the Site via e-mail; (iii) information knowingly provided by the visitor in online forms and registration forms (including name, address, e-mail and other personal profile data), and (iv) aggregate and user-specific information regarding web page views.
(c) Collection of Non-Identifiable Information. ACONC may collect non-identifiable information from user visits to the Site in order to provide better customer service. Examples of such collecting include: traffic analysis, such as tracking of the domains from which users visit, or tracking numbers of visitors; measuring visitor activity on the Site; Site and system administration; user analysis; and business decision making. Such information is sometimes known as ”clickstream data.” ACONC or its contractors may use this data to analyze trends and statistics.
(d) Collection of Personal Information. ACONC collects personal identifying information from each visitor to the Site during a transaction. ACONC may extract some personally identifying information about that transaction in an non-identifiable format and combine it with other non-identifiable information, such as clickstream data. This information is used and analyzed only at an aggregate level and not at an individual level to help ACONC understand trends and patterns. This information is not reviewed at an individual level.
6. Information Security.
(a)Commitment to Online Security. ACONC uses advanced technology to ensure security on all data transmitted via the Site. Secure Sockets Layer (SSL) technology is used to transmit all data between browsers and our web server where applicable. In order to use the Site, users must be running an SSL capable browser such as Microsoft Internet Explorer 5.0 (or later version).
(b) No Liability for Acts of Third Parties. ACONC will exercise all reasonable efforts to safeguard the confidentiality of customer personal information. However, transmissions protected by industry standard security technology and implemented by human beings cannot be made absolutely secure. Consequently, ACONC shall not be liable for unauthorized disclosure of personal information due to no fault of ACONC including, but not limited to, errors in transmission and unauthorized acts of ACONC staff and/or third parties.
(b) Opt-Out Right. You have the right at any time to cease permitting personal information to be collected, used or disclosed by ACONC and/or by any third parties with whom ACONC has shared and/or transferred such personal information. Right of cancellation may be exercised by contacting ACONC via e-mail at: firstname.lastname@example.org or via telephone or certified postal mail at the address provided in Paragraph 9 herein. After processing the cancellation, ACONC will delete such personal information from its data base. However, to the extent that you choose to continue using the Site, ACONC may use this personal information as may be reasonably necessary in connection with such use.
8. Access Rights to Data.
(a) Information Maintained by Us. Upon written request from a visitor to the Site, ACONC will provide a reasonable description of the personally identifiable information collected from that visitor that ACONC maintains in its data bank. ACONC can be contacted by e-mail or certified postal mail at the address provided in Paragraph 9 herein.
(b) Corrections and Changes to Personal Information. Visitor may modify, collect, change or update personally identifiable information that ACONC has collected through the Site, or may cause their personal record to be removed from the ACONC database by contacting ACONC by e-mail or certified postal mail at the address provided in Paragraph 9 herein.
9. Contact Information.
Mailing address: 555 W. Granada Blvd., Suite B-3, Ormond Beach, FL 32174
1. Online Service Agreement
By using this Site owned and/or controlled by ACONC you agree (for yourself and/or on your company’s behalf) to the rules and regulations contained herein without limitation or qualification. For purposes of this Agreement, the term “using” means the use and availability of, access to, transmission to or from or any exchange of information or communication in connection with or arising from the Site. If you do not agree with any part of this Agreement, YOU MUST NOT USE THIS SITE.
2. Use Rights.
This Agreement provides you with a personal, revocable, non-exclusive, non-transferable license to use the Site conditioned on your continued compliance with this Agreement. Content provided by ACONC through the Site may be downloaded, displayed, reformatted and printed for your personal, non-commercial use only. CONTENT OWNED BY ACONC LICENSOR(S) OR OTHER THIRD PARTIES MAY BE SUBJECT TO ADDITIONAL RESTRICTIONS. You agree not to copy, modify, adapt, translate, reproduce, retransmit, distribute, disseminate, circulate, sell, publish, reverse engineer, frame, decompile, or dissemble the content received through the Site (including any prices or services description) to anyone, including but not limited to others in the same company or organization, without express prior written consent from ACONC. Actual or attempted unauthorized use of the Site may result in criminal or civil prosecution.
3. Usernames and Passwords.
The username and password you create is for your use only and will give you access to secured areas of the Site. By giving us the personal information necessary to create a username and password you are opting in to the collection and use of your personal information by us or our contracted service providers. Without your unique username and password, you will be unable to access these secured areas.
If you are not the person whose social security or member ID number is being used to access information on our Site, please be advised that this may constitute a fraudulent act. The Identity Theft and Assumption Deterrence Act of 1998, makes identity theft a federal crime with penalties up to 15 years imprisonment and a maximum fine of $250,000. (Title 18 USC 1028).
4. Health Content.
The information on this Site is not a substitute for professional health care, nor is it in any way to constitute medical advice and should not be relied upon for medical diagnosis or treatment. You should never disregard medical advice or delay in seeking it because of something you have read on this Site. For personal medical guidance, please consult your physician.
5. Intellectual Property.
The Site content is protected under US and foreign law. All right, title and interest (including all copyrights, trademarks and other intellectual property rights) of this Site belongs to and is controlled exclusively by us. In addition, the names, images, pictures, logos and icons identifying our products and services are proprietary marks that belong to us. Except as expressly provided, nothing contained herein shall be construed as conferring any license or right, by implication, estoppel or otherwise, under copyright or other intellectual property rights. Republication or citation of any content generated by the Site without ACONC’s written consent is expressly prohibited. This Site may contain other proprietary notices and copyright information, the terms of which must be observed and followed. ACONC prohibits the use of any content on this Site as a link on, or to, any other Web site unless establishment of such a link is pre-approved by ACONC in writing.
7. Advertising and Links to Other Web sites and Services.
To the extent this Site contains advertising regarding and/or links to outside services and resources, any concerns regarding such services or resources should be directed to the particular outside service or resource provider. ACONC does not endorse, investigate, verify, or monitor the content, accuracy, or opinions expressed on other Internet sites hyper-linked to this Site, nor does the information found on these other sites necessarily represent the views of ACONC. We also do not warrant that these sites are free from any claims of copyright, trademark, or other infringement of the rights of third parties, or that such sites are free of computer viruses.
8. Change of Information.
This Agreement was last updated on July 10, 2014. ACONC may change the terms in this Agreement at any time. Any changes will appear in this Agreement, which you can access at any time by returning to this Site. It is your responsibility as a user to refer to the terms on accessing the Site. Changes will be effective the day after first posting to the Site and you will be deemed to have accepted any change if you continue to access the Site after that time.
9. No Warranties.
THIS SITE IS PROVIDED BY ACONC ON AN “AS IS” AND “AS AVAILABLE” BASIS. ACONC MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF THE SITE OR THE INFORMATION, CONTENT, MATERIALS, OR SERVICES INCLUDED ON THE SITE. YOU EXPRESSLY AGREE THAT YOUR USE OF THE SITE IS AT YOUR SOLE RISK.
TO THE FULL EXTENT PERMISSIBLE BY APPLICABLE LAW, ACONC DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. ACONC DOES NOT WARRANT THAT THE SITE, ITS SERVERS, OR E-MAIL SENT FROM ACONC ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. IT IS UP TO YOU TO TAKE PRECAUTIONS AGAINST VIRUSES AND OTHER ITEMS OF DESTRUCTIVE NATURE. ACONC ALSO RESERVES THE RIGHT TO ALTER THE CONTENT OF THE SITE IN ANY WAY, AT ANY TIME, FOR ANY REASON, WITHOUT PRIOR NOTIFICATION, AND WILL NOT BE LIABLE IN ANY WAY FOR ANY TYPOGRAPHICAL ERRORS THAT MAY APPEAR ON THE SITE OR FOR POSSIBLE CONSEQUENCES OF SUCH CHANGES.
Without limiting the above, no warranty or guarantee is made (i) that you will receive the lowest available price for services available through this Site; (ii) regarding the availability of products and/or services through this Site; (iii) that use of this Site and all software, products or services associated with this Site will be error-free; (iv) regarding the results that may be obtained from the use of this Site; (v) regarding the completeness, accuracy, reliability or quality of any information, content, data, service, advice or merchandise provided or available through this Site; or, (vi) regarding the performance or non-performance of this Site including, but not limited to, any performance or non-performance in connection with or as a consequence of the passage of time. You expressly agree that the use of this Site is at your sole risk.
10. Limitation of Liability.
TO THE FULL EXTENT PERMISSIBLE BY APPLICABLE LAW, NEITHER ACONC NOR ITS AFFILIATES NOR ANY OF THEIR OWNERS, EMPLOYEES, AGENTS, DIRECTORS, EMPLOYEES, PROPRIETORS, PARTNERS, REPRESENTATIVES, SHAREHOLDERS, ATTORNEYS, PREDECESSORS, SUCCESSORS AND ASSIGNS WILL BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES (INCLUDING BUT NOT LIMITED TO LOST PROFITS, AND DAMAGES THAT RESULT FROM INCONVENIENCE, DELAY, OR LOSS OF USE OF THE SERVICES PROVIDED AT THE SITE) ARISING OUT OF USE OF THE SITE, THE INFORMATION CONTAINED ON THE SITE (HOWEVER ARISING, INCLUDING NEGLIGENCE), EVEN IF ACONC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES OR LOSSES. ACONC ASSUMES NO RESPONSIBILITY, AND SHALL NOT BE LIABLE FOR ANY DAMAGES TO OR VIRUSES THAT MAY INFECT YOUR COMPUTER EQUIPMENT OR OTHER PROPERTY ON ACCOUNT OF YOUR ACCESS TO OR USE OF OR BROWSING OF THE SITE OR YOUR DOWNLOADING OF ANY MATERIAL, DATA, TEXT, IMAGES, VIDEO OR AUDIO FROM THE SITE. FURTHERMORE, ACONC ASSUMES NO RESPONSIBILITY, AND SHALL NOT BE LIABLE FOR ANY DAMAGES WHATSOEVER DUE TO ANY THIRD PARTY’S UNAUTHORIZED ACCESS TO THE SITE OR PASSWORDS, DATA, OR INFORMATION ON THE SITE.
You agree to reimburse and hold harmless ACONC and its affiliates and any of their owners, employees, agents, directors, proprietors, partners, representatives, shareholders, attorneys, predecessors, successors and assigns against any claims arising directly or indirectly from your use of the Site.
12. Termination of Usage.
ACONC may discontinue or change the Site, or the availability of the Site to you at any time without notice, and you may terminate your use of the Site at any time without notice. This Agreement is personal to you and you may not assign your rights or obligations to anyone. Upon termination of this Agreement, Sections 5, 9, 10, 11 and 13 shall survive.
13. Jurisdiction and Venue.
This Site, including this Agreement, shall be governed by, and construed in accordance with, the laws of the State of New York (without giving affect to the choice of law principles thereof). Any dispute arising out of or in relation to this web site, including this Agreement shall be subject to the exclusive jurisdiction of the federal and state courts of New York. You agree and consent to the personal jurisdiction in the federal and state courts of New York for any action concerning any dispute arising in connection with this web site or this agreement. You represent that you are using the Site at the direction and for the benefit of your company, and have authority to bind your company to this Agreement. If any portion of this Agreement is adjudged invalid or unenforceable by a court of competent jurisdiction, the remaining portions will remain valid, enforceable, and carried into effect.
14. Questions, Problems and Complaints.
If you have a question, problem or complaint regarding this Agreement, you may contact ACONC at:
Mailing address: 555 W. Granada Blvd., Suite B-3, Ormond Beach, FL 32174
HIPAA Notice of Privacy Practices
This Notice of Privacy Practices (“Notice”) of the Accountable Care Organization of the North Country (“ACONC”) is intended to comply with the Gramm-Leach-Bliley Act (“GLBA”), Health Insurance Portability and Accountability Act (“HIPAA”) Privacy and Security Rules, Health Information Technology for Economic and Clinical Health Act (“HITECH Act”), the Patient Protection and Affordable Care Act (“ACA”), and the Health Care Education Reconciliation Act of 2010.
THIS NOTICE DESCRIBES HOW INDIVIDUALLY IDENTIFIABLE HEALTH, PERSONAL, MEDICAL, AND FINANCIAL INFORMATION (“YOUR PROTECTED HEALTH INFORMATION” or “YOUR INFORMATION”) WE MAINTAIN ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. THIS NOTICE IS FOR YOUR INFORMATION. PLEASE REVIEW IT CAREFULLY. NO RESPONSE IS REQUIRED.
OUR PRIVACY OBLIGATIONS
We are required by federal and state law to protect the privacy of Your Protected Health Information and to provide you with this Notice of our legal duties and privacy practices. When we use or disclose Your Protected Health Information, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure). State Pre-emption — Some states’ laws are more stringent than federal privacy laws with regard to these requirements. We will comply with all applicable laws.
HOW WE PROTECT YOUR PROTECTED HEALTH INFORMATION
We treat Your Protected Health Information in a confidential manner. Our employees are trained and required to protect the confidentiality of Your Protected Health Information. Employees may access Your Protected Health Information only when there is an appropriate reason to do so, such as to administer or offer our products or services. We also maintain physical, electronic, and procedural safeguards to protect Your Protected Health Information; these safeguards comply with all applicable laws. Employees are required to comply with our established policies.
HOW WE COLLECT YOUR PROTECTED HEALTH INFORMATION
The information that you give us or that we receive in relation to our products or services generally provides all of Your Protected Health Information that we will need. If we need to verify Your Protected Health Information or need additional information, we may obtain Your Protected Health Information from third parties such as Medicare, adult family members, employers, insurers, consumer reporting agencies, physicians, hospitals and other medical personnel. Your Protected Health Information collected may relate to your finances, employment, health, avocations or other personal characteristics as well as transactions with us or with others.
DISCLOSURE OF YOUR PROTECTED HEALTH INFORMATION
How We Use Your Protected Health Information
We collect and use Your Protected Health Information for business purposes with respect to our products, services, and other business relationships involving you. We may disclose any of Your Protected Health Information, within acceptable regulatory limitations, when we believe it necessary for the conduct of our business, or where disclosure is required by law. For example, Your Protected Health Information may be disclosed to others, including to enable them to provide business services for us, such as helping us to administer our products or services, perform general administrative activities, or otherwise assist us in servicing or processing a product or service requested or authorized by you. Your Protected Health Information may also be disclosed for audit or research purposes, or to law enforcement and regulatory agencies, for example, to help us prevent fraud. Your Protected Health Information may be disclosed to others that are outside of our family of companies, such as companies that process data for us, companies that provide general administrative services for us, federal or state agencies or regulatory bodies, and consumer reporting agencies. We will make other disclosures of Your Protected Health Information as permitted by law.
I. Uses and Disclosures for Treatment, Payment, and Health Care Operations:
A. We may use and disclose Your Protected Health Information to others as necessary for health care providers to render medical services, including evaluation, diagnosis, and treatment, for payment related to our products or services, and for health care operations, without your express, implied, or specific consent or authorization. In addition and without limitation, we may use and disclose Your Protected Health Information to others as follows:
Payment. We may use and disclose Your Protected Health Information to obtain payment relating to our products and services.
Health Care Operations. We may use and disclose Your Protected Health Information for our health care operations – for example, to do business planning, provide care coordination services, and conduct quality assessment and improvement activities.
Treatment. We may disclose Your Protected Health Information, such as your medical information, to a health care provider for your medical treatment.
II. Use or Disclosure with Your Authorization:
We may use or disclose Your Protected Health Information for any reason other than payment, health care operations and treatment only when (1) you give us your written authorization (“Your Authorization”) or (2) there exists an exception as described in Section III below. You may revoke Your Authorization, except to the extent we have taken action in reliance upon it, by delivering a written revocation statement to the Privacy Office identified at the end of this document.
III. Uses and Disclosures Without Your Consent or Your Authorization:
A. As Required by Law. We will use or disclose Your Protected Health Information when required to do so by applicable international, federal, state or local law.
B. Business Associates. We may disclose Your Protected Health Information to our Business Associates that perform functions on our behalf or provide us with services if the disclosure is necessary for such functions or services. For example, we may use another company to perform administrative services on our behalf. All of our Business Associates are obligated, by law and under contracts with us, to protect the privacy of Your Protected Health Information and are not allowed to use or disclose any information other than as specified in our contract.
C. Marketing Communications. We may use and disclose Your Information for marketing communications made by us to you as permitted by law.
D. Public Health Activities. We may disclose Your Protected Health Information for the following public health activities and purposes: (1) to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; (2) to report child abuse or neglect to the government authority authorized by law to receive such reports; and, (3) to alert a person who may have been exposed to a communicable disease.
E. Victims of Abuse, Neglect or Domestic Violence. We may disclose Your Protected Health Information if we reasonably believe you are a victim of abuse, neglect or domestic violence to the appropriate state agency as required or permitted by applicable state law.
F. Health Oversight Activities. We may disclose Your Protected Health Information to a government agency, including the Centers for Medicare and Medicaid Services (“CMS”), that oversees the health care system or ensures compliance with the rules of government health programs such as Medicare or Medicaid.
G. Judicial and Administrative Proceedings. We may disclose Your Protected Health Information in the course of a judicial or administrative proceeding in response to a legal order or other lawful process.
H. Law Enforcement Officials. We may disclose Your Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order or other lawful process.
I. Health or Safety. We may disclose Your Protected Health Information to prevent or lessen a serious and imminent threat to a person’s or the public’s health or safety.
J. Specialized Government Functions. We may disclose Your Protected Health Information to units of the government with special functions, such as any branch of the U.S. military or the U.S. Department of State.
K. Disclosure to You. We may disclose Your Information to you or your authorized representative.
L. Disclosures to Individuals Involved with Your Health Care. We may use or disclose your medical information in order to tell someone responsible for your care about your location or condition. We may disclose your medical information to your relative, friend, or other person you identify, if the information relates to that person’s involvement with your health care.
M. Research. We may use or disclose Your Protected Health Information, such as your medical information, for purposes of research if we first confirm that your privacy rights will be protected, for instance if a privacy board or Institutional Review Board determines that your privacy will not be put at risk and informs us of its determination.
YOUR INDIVIDUAL RIGHTS
A. For Further Information; Complaints. If you desire further information about your privacy rights, are concerned that we have violated your privacy rights, or disagree with a decision that we made about access to Your Protected Health Information, you may contact our Privacy Office. You may also file written complaints with the Secretary of the U.S. Department of Health and Human Services (the “Secretary”) Office for Civil Rights. Upon request, the Privacy Office will provide you with the correct address for the Secretary. We will not retaliate against you if you file a complaint with us or the Secretary.
B. Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of Your Protected Health Information for treatment, payment, and health care operations in addition to those explained in this Notice. While we will consider all requests for additional restrictions carefully, we are not required to agree to all requested restrictions, but will comply with legally required restrictions. If you wish to request additional restrictions, please obtain a request form from our Privacy Office and submit the completed form to the Privacy Office. We will send you a written response. Under certain circumstances, you may direct your physician(s) and other health care practitioners to not share your Protected Health Information with us by providing the health care providers with written notice.
C. Right to Receive Confidential Communications. We accommodate any reasonable request for you to receive Your Protected Health Information by alternative means of communication or at alternative locations.
D. Right to Inspect and Copy Your Information. You may request access to our records that contain Your Information in order to inspect and request copies of your records. Under limited circumstances, we may deny you access to all or a portion of your records. If you desire access to your records, please obtain a record request form from the Privacy Office and submit the completed form to the Privacy Office. If you request copies, we will charge you a reasonable free for copying and mailing costs. You also have a right to receive a copy in electronic format, if so requested.
E. Right to Amend Your Records. You have the right to request that we amend Your Information maintained in our records, including case or medical management records, used, in whole or in part, by or for us to make decisions about you or with respect to our products or services. If you desire to amend these records, please obtain an amendment request form from the Privacy Office and submit the completed form to the Privacy Office. We will comply with your request unless special circumstances apply. If your physician or other health care provider created the information that you desire to amend, you should contact the provider to amend the information.
F. Right to Receive an Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of Your Information made by us, excluding disclosures made earlier than six (6) years before the date of your request. If you request an accounting more than once during a twelve (12) month period, we have the right to charge you fifty cents ($0.50) per page of the accounting statement and five dollars ($5.00) per hour for clerical work necessary to complete the requested accounting.
G. Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice.
H. Right to Receive Notification of any Security Breaches. If any breach of security relating to Your Information should occur, you have the right to receive notification. We will abide by breach notification requirements under law.
DURATION OF THIS NOTICE
Our Right to Change Terms of this Notice. We may change the terms of this Notice at any time. If we change this Notice, we may make the new notice terms effective for all of Your Information that we maintain, including any information we created or received prior to issuing the new notice. If we change this Notice, we will send the new notice to you if we are providing services to you under our products or services. In addition, we will post any new notice on our website at http://www.aco-nc.com you also may obtain any new notice by contacting the Privacy Office.