Aetna International U.S.-based plans notice of privacy practices

Inference & Profiling · Company practice

Claims from US medical providers may be processed automatically

Where claims administration involves invoices received from US medical providers (for example, where you were treated in the United States), Aetna says it may administer your claim using automated processing. This could include automated processing of your health data, for which it says it will acquire your consent.

Supporting quotations

Where the claims administration involves invoices received from US medical providers (for example where you have received treatment in the United States), we may administer your claim using automated processing. This could include the automated processing of your health data, for which we will acquire your consent.

Qualifications & exceptions

• Limited to claims involving invoices from US medical providers.
• The notice says "may" use automated processing and "could include" automated processing of health data.

Not stated here

• The notice does not say what the automated processing decides or how a member can ask for a person to review the result.

Cross-references

• narrows (model-proposed): No profiling or automated decisions, except US provider claims or when you are told — exception_to: Claims from US medical providers are the stated exception to the no-automated-decision-making statement.

Inference & Profiling · Company commitment

No profiling or automated decisions, except US provider claims or when you are told

Aetna says it does not conduct any profiling or automated decision-making other than where a United States medical provider submits a claim on your behalf for treatment the provider has rendered, or in circumstances where you are expressly informed. Elsewhere the notice says that for claims involving invoices from US medical providers Aetna may administer the claim using automated processing.

Supporting quotations

We do not conduct any profiling or automated decision-making other than where a United States medical provider submits a claim on your behalf for treatment the provider has rendered or in circumstances where you are expressly informed.

we may administer your claim using automated processing

Qualifications & exceptions

• The two exceptions are US provider claims and "circumstances where you are expressly informed."

Not stated here

• The notice does not say what decisions are made automatically on those claims, or what the "expressly informed" circumstances are.