APP-NEA offers services, such as helping you to find and learn about nearby healthcare providers, booking appointments with the healthcare provider(s) of your choice (each,Your Healthcare Provider) and managing and forwarding your health history forms and other health-related information to share with Your Healthcare Providers (APP-NEA Services). As part of providing the APP-NEA Services, APP-NEA may collect, use, share, and exchange your health history forms and other health-related information with Your Healthcare Providers. Under a federal law called the Health Insurance Portability and Accountability Act (HIPAA), some of this health and health-related information may be considered protected health information orPHIif such information is received from or on behalf of Your Healthcare Providers.
Safeguards for PHI
HIPAA protects the privacy and security of your PHI by limiting the uses and disclosures of PHI by most healthcare providers and by health plans (calledCovered Entities) as well as companies, like APP-NEA, that provide certain types of assistance to Covered Entities (calledBusiness Associates). Under certain circumstances described in HIPAA, an individual needs to sign an Authorization form before a Covered Entity, like Your Healthcare Provider(s), can disclose protected health information to a third party.
Non-Protected Health Information
Your PHI Authorization
The purpose of this APP-NEA Authorization (Authorization) is to request your written permission to allow APP-NEA to use and disclose your PHI in the same way as we use and disclose your Non-PHI. If APP-NEA is a Business Associate of Your Healthcare Providers, APP-NEA needs your Authorization to be able to use and disclose your PHI in the same way it can currently use and disclose your Non-PHI when APP-NEA is not working on behalf of Your Healthcare Providers, but is instead working on its own behalf. Therefore, when APP-NEA relies on this Authorization, and uses and discloses PHI as described in this Authorization, it is not working as a Business Associate and the HIPAA requirements that apply to Business Associates will not apply to such uses and disclosures. If you e-sign this Authorization, you give your permission to APP-NEA to retain your PHI and to use and/or disclose your PHI in the same way that you have agreed that your Non-PHI can be used and disclosed. Specifically, you agree that APP-NEA can use your PHI to:
- enable and customize your use of the APP-NEA Services;
- provide you alerts or other APP-NEA Services regarding future appointments;
- notify you regarding providers we think you may be interested in learning more about;
- share information with you regarding services, products or resources about which we think you may be interested in learning more;
- provide you with updates and information about the APP-NEA Services;
- market to you about APP-NEA and third party products and services;
- conduct analysis for APP-NEA business purposes;
- support development of the APP-NEA Services; and
- create de-identified information and then use and disclose this information in any way permitted by law, including to third parties in connection with their commercial and marketing efforts.
If APP-NEA discloses your PHI, APP-NEA will require that the person or entity receiving your PHI agrees to only use and disclose your PHI to carry out its specific business obligations to APP-NEA or for the permitted purpose of the disclosure (as described above). APP-NEA cannot, however, guarantee that any such person or entity to which APP-NEA discloses your PHI or other information will not re-disclose it in ways that you or we did not intend or permit
Expiration and Revocation of Authorization
Your Authorization remains in effect until you provide written notice of revocation to APP-NEA.YOU CAN CHANGE YOUR MIND AND REVOKE THIS AUTHORIZATION AT ANY TIME AND FOR ANY (OR NO) REASON.If you wish to revoke this Authorization, you must notify APP-NEA by submitting a revocation through your account settings page. Your decision not to execute this Authorization or to revoke it at any time will not affect your ability to use certain of the APP-NEA Services. A Revocation of Authorization is effective after you submit it to APP-NEA, but it does not have any effect on APP-NEA prior actions taken in reliance on the Authorization before revoked.Once APP-NEA receives your Revocation of Authorization, APP-NEA can only use and disclose your PHI as permitted in APP-NEA agreements with Your Healthcare Provider(s). Your Revocation of Authorization does not affect APP-NEA use of your Non-PHI.We will make available to Your Healthcare Provider(s), current and past, your agreement to or revocation of this Authorization.