Patients have Part 2 restriction, complaint, and breach-notice rights and may revoke written authorizations in writing
Regarding Part 2 records, you may request restrictions on treatment, payment, or operations uses/disclosures (mandatory to honor for certain out-of-pocket paid services) and file complaints with Wheel Provider Group or the HHS Office for Civil Rights, and Wheel Provider Group must protect Part 2 privacy, notify you of unsecured Part 2 breaches, and follow stricter state laws where applicable. You may revoke any written authorization in writing to the Privacy Office, except to the extent action was already taken in reliance.
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Your Rights Regarding Part 2 Records. In addition to your rights under HIPAA (such as accessing/correcting records, requesting restrictions, or accounting of disclosures), you have these Part 2-aligned rights:
Request restrictions on uses/disclosures of your Part 2 records for treatment, payment, or health care operations (we are not required to agree, but must honor certain restrictions if you pay out-of-pocket).
File a complaint with us or directly with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights if you believe your privacy rights have been violated.
Our Duties. We are required by law to maintain the privacy of your Part 2 records, provide this notice, abide by its terms, and notify you following a breach of unsecured Part 2 records (using HIPAA breach notification standards). Depending on the state you are located, there may be additional state laws that require greater limits on disclosures. Please contact us if you would like more information on the state laws where you are located.
E. Revocation of Your Authorization. You may revoke your authorization, except to the extent that we have taken action in reliance upon it, by delivering a written revocation statement to the Privacy Office identified below.
Qualifications & exceptions
Revocation applies except to the extent that action has been taken in reliance upon the authorization
Account & Service Control · User right or choice
Patients may contact the Privacy Office (privacy@wheel.com) or file HHS OCR complaints without retaliation
You may contact the Wheel Provider Group Privacy Office at privacy@wheel.com for further privacy information, concerns, or access disputes, and may file written complaints with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (whose Director's address the Privacy Office will provide upon request); Wheel Provider Group will not retaliate against you for filing a complaint.
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A. For Further Information; Complaints. If you desire further information about your privacy rights, are concerned that we have violated your privacy rights or disagree with a decision that we made about access to your Protected Health Information, you may contact our Privacy Office. You may also file written complaints with the Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Privacy Office will provide you with the correct address for the Director. We will not retaliate against you if you file a complaint with us or the Director.
You may contact the Privacy Office at:
Privacy Office Wheel Provider Group privacy@wheel.com
Account & Service Control · User right or choice
Patients may request PHI restrictions (mandatory for out-of-pocket items) and confidential alternative communications
You may submit a Privacy Office request form for restrictions on PHI uses/disclosures for treatment, payment, operations, or caregiver notifications; Wheel Provider Group is not required to agree unless the restriction is on disclosure to a health plan for payment or health care operations, is not required by law, and pertains solely to an item or service paid out of pocket in full. Wheel Provider Group will also accommodate any reasonable written request to receive PHI by alternative means or at alternative locations.
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B. Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of your Protected Health Information (1) for treatment, payment and health care operations, (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care, or (3) to notify or assist in the notification of such individuals regarding your location and general condition. While we will consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction unless the request is to restrict our disclosure to a health plan for purposes of carrying out payment or health care operations, the disclosure is not required by law and the information pertains solely to a health care item or service for which you (or someone on your behalf other than the health plan) have paid us out of pocket in full. If you wish to request additional restrictions, please obtain a request form from our Privacy Office and submit the completed form to the Privacy Office. We will send you a written response.
C. Right to Receive Communications by Alternative Means or at Alternative Locations. You may request, and we will accommodate, any reasonable written request for you to receive your Protected Health Information by alternative means of communication or at alternative locations.
Qualifications & exceptions
Wheel Provider Group is not required to agree to a requested restriction unless it restricts health plan payment/operations disclosures not required by law for an item/service paid out of pocket in full
Account & Service Control · User right or choice
Patients may request to inspect, copy (for a reasonable fee), and amend medical and billing records
By submitting a request form to the Privacy Office, you may request to inspect and obtain copies of your medical and billing records (subject to limited access denials and a reasonable copy fee) and request amendments to PHI in those records (which Wheel Provider Group will honor unless it believes the information is accurate and complete or other special circumstances apply).
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D. Right to Inspect and Copy Your Health Information. You may request access to your medical record file and billing records maintained by us in order to inspect and request copies of the records. Under limited circumstances, we may deny you access to a portion of your records. If you desire access to your records, please obtain a record request form from the Privacy Office and submit the completed form to the Privacy Office. If you request copies, we may charge you a reasonable copy fee.
E. Right to Amend Your Records. You have the right to request that we amend your Protected Health Information maintained in your medical record file or billing records. If you desire to amend your records, please obtain an amendment request form from the Privacy Office and submit the completed form to the Privacy Office. We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.
Qualifications & exceptions
Access may be denied under limited circumstances; amendments are honored unless information is believed accurate and complete or special circumstances apply
Account & Service Control · User right or choice
Patients may request a 6-year accounting of PHI disclosures and a paper copy of this Notice
Upon request, you may obtain an accounting of certain PHI disclosures made during a period of up to six years prior to your request (subject to a reasonable fee if requested more than once in a 12-month period) and may obtain a paper copy of this Notice even if you agreed to receive it electronically.
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F. Right to Receive An Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of your Protected Health Information made by us during any period of time prior to the date of your request provided such period does not exceed six years. If you request an accounting more than once during a twelve (12) month period, we may charge you a reasonable fee for the accounting statement.
G. Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you agreed to receive such notice electronically.