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NOTICE OF PRIVACY PRACTICES AT UTAH MEDICAL PRODUCTS, INC. (UTMD)

This notice describes how your medical information, which may have been sent to UTMD with your purchase request, may be legally used and disclosed and how you can get access to this information. 


Please review the following carefully.


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UTMD'S PRIVACY RESPONSIBILITIES


UTMD is required by law to:

  Maintain the privacy of your protected health information (PHI);

  Provide this notice that describes the ways UTMD may use and share your PHI; and

  Follow the terms of the notice currently in effect.

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HOW UTMD USES AND DISCLOSES YOUR PHI

Providing Medical Devices -- The devices which UTMD sells directly to patients are available only by prescription. The prescription and order form from your health care provider will typically include a statement of your condition, related problems, anticipated benefits of the device, and the information required for shipping and billing. The uses and disclosures of this PHI are regulated by law to protect your privacy.

Payment -- UTMD keeps billing and collection records which document product(s) shipped and receipt of payment information. Your PHI may be disclosed by UTMD to verify coverage, obtain pre-authorization and request payment from your insurance company, Medicare, or another third party. This information will typically include your name, address, date of birth, social security number, phone number, employer and insurance provider information, credit card information (if you choose to pay in that manner), and enough information from your health care provider's diagnosis and evaluation to satisfy pre-authorization requirements.

Required by Law -- UTMD will not use or disclose your PHI for any purpose other than those described above, unless required to do so by law. As an example, a health oversight agency which ensures compliance with the rules of government health programs such as Medicare or Medicaid could require UTMD to disclose your PHI to them. The U.S. Department of Health and Human Services, which enforces the Privacy Rule, may audit a company's compliance, thereby possibly having access to your PHI.

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HOW UTMD PROTECTS YOUR PHI

UTMD controls access to the files which contain the diagnosis of your condition, related health problems and anticipated benefits of the device. This information is archived in a filing cabinet which is kept in a locked room. A limited number of customer service representatives and their supervisors have access to these records. These physical records are archived for seven years and then shredded before disposal. None of the PHI is entered into a computer or otherwise shared electronically.

Shipping, billing and accounting information is entered into a computer system which is protected by two layers of passwords, with access limited to those whose jobs require access.

All those who have contact with your PHI have been trained to comply with the privacy policy outlined above, and a Privacy Officer has been appointed to monitor compliance.

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YOUR RIGHTS

You can request a copy of the material in your file from UTMD by contacting the Privacy Officer listed below. UTMD reserves the right to charge a reasonable fee for the cost of producing and mailing any copies of your PHI record which you request.

If you are concerned that UTMD may have failed to follow the requirements outlined in this notice, you may file a complaint with the Privacy Officer of UTMD at:

Privacy Officer
Utah Medical Products, Inc.
7043 South 300 West
Midvale, UT 84047
(801) 566-1200
info@utahmed.com

If you are not satisfied with the resolution of a complaint about possible violation of the privacy practices, the Privacy Officer will give you information that you will need to file a complaint with the U.S. Department of Health and Human Services.

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PRIVACY PRACTICES NOTICE REVISION

UTMD is required by law to follow the privacy practices described in this notice while it is in effect. This notice takes effect April 14, 2004, and will remain in effect until replaced, modified, or amended. Revised privacy practices may go into effect only after the revised notice has been sent to affected individuals.

 

2004 - 2017 Utah Medical Products, Inc.  All Rights Reserved       Legal Notice