NOTICE OF PRIVACY PRACTICES OF ORTHOCAROLINA, PA

Effective: January 3, 2022

The attached Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information, please review it carefully.


Understanding Your Health Record/Information

Each time you visit a hospital, physician, or another healthcare provider, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

  • Basis for planning your care and treatment
  • Means of communications among the many health professionals who contribute to your care
  • Legal document describing the care you received
  • Means by which you or a third-party payer can verify that service billed were actually provided
  • Tool in educating health professionals
  • Source of data for medical research
  • Source of information for public health officials charged with improving the health of the nation
  • Source of data for facility planning and marketing
  • Tool with which we can assess and continually work to improve the care we render and the outcomes we achieve


Understanding what is in your record and how your health information is used helps you to:

  • Ensure its accuracy
  • Better understand who, what, when, where and why others may access your health information
  • Make more informed decisions when authorizing disclosure to others

We are required by law to protect the privacy of health information about you and that can be identified with you, which we call “protected health information,” or “PHI” for short. We must give you notice of our legal duties and privacy practices concerning PHI. The attached Notice of Privacy Practices tells you about our legal duties and privacy practices concerning PHI.


Download the complete Notice of Privacy Practices below :

ENGLISH VERSION

SPANISH VERSION


Transparency in Coverage Rule

Under the Transparency in Coverage Rule, issued in 2020 by the U.S. Department of Health & Human Services, Department of Labor and Department of the Treasury and enforced beginning 7/1/22, health insurance issuers must publish two separate machine-readable files (MRFs) as follows:

  • In Network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers
  • Out of Network: Allowed amount paid to, and billed charges from, out-of-network providers for all covered services within a 90-day period.

Click here for the CIGNA's Machine Readable Files.

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