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.
Uses and Disclosures:
Treatment: Your health information may be used by our staff members or disclosed to other health care professional if for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of tests and procedures will be available in your medical records to all health professionals who may provide treatment or who may be consulted by our staff members.
Payment: Your health information may be used to seek payment from your health plans, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.
Health care operations: Your health information may be used as necessary to support the day-to-day activities of this medical practice. For example, information on the services you received may be used to support budgeting and financial reporting and activities to evaluate and promote quality.
Public health reporting: Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state's public health department.
Other uses and disclosure require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit and written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.
Appointment reminders: Your health information may be used by our staff to send you appointment reminders.
TERMS AND CONDITIONS
We are dedicated to providing the best care for our patients and we want our patients to be familiar with our company’s practices. Please read below and let us know if you have any questions.
FINANCIAL POLICY
We do not run any of the visits through insurance companies. We are happy to provide a superbill, upon your request, that you are free to submit to your insurance company. We do not guarantee coverage, rather is it based on your specific out of network benefits. Once a consultation is set up between a patient and the physician, the patient will be sent a payment request directly and payment in full is due prior to the consultation being performed. If additional charges are incurred during the consultation, they must be paid by end of business day. Pricing for all services is clearly posted on our website and if you have any questions about pricing, please inquire BEFORE service is rendered. Please understand, there are limitations in the types of care that we can provide as a telemedicine and mobile service. Consequently, a consultation may result in the recommendation by the physician for the patient to seek a higher level of care such as an emergency room or a specialist visit. If there are any financial disputes, please let us alert us by email immediately.
ADDITIONAL TESTING/IMAGING
During a consult, the physician may decide that additional testing such as blood work or x-ray may be necessary. These tests will be ordered directly with the laboratory and the imaging center. The patient will be given instructions on how and where to get the studies done. All billing for these studies will be done directly with the facility where the studies were obtained. For most patients, this type of testing will be billed to the patient’s insurance by the facility. All billing inquires about these studies should be directed to the facility directly.
MINORS
We do not treat minors without guardians being present.