Provider entities jointly use and disclose PHI in a care arrangement
Each BPG provider entity and its contracted providers participate in an organized health care arrangement. They jointly use and disclose PHI for treatment, payment, health care operations, and other purposes permitted or required by law, and agree to follow this notice.
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Together with its contracted providers, each BetterHelp Provider Entity is part of an organized health care arrangement that jointly uses and discloses PHI to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. As an organized health care arrangement, BetterHelp Provider Group agrees to abide by the terms of this Notice.
Qualifications & exceptions
Joint use and disclosure is for the stated care, payment, operations and lawful purposes.
To provide the Services, BPG uses and discloses PHI for treatment, including disclosure to your therapist. This permission concerns treatment rather than an unrestricted use of medical information.
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To provide you with the Services, we use and disclose your PHI for the following purposes:
Treatment - To provide you with the Services. For example, we will disclose your PHI to your therapist for treatment purposes.
Qualifications & exceptions
The disclosure is for treatment in providing the Services.
Cross-references
contrast (model-proposed): You may obtain an accounting of certain PHI disclosures — The notice describes routine treatment disclosure of PHI while excluding treatment disclosures from the accounting right. The accounting therefore does not provide a list of every treatment disclosure; this is a reviewed limit rather than a contradiction.
Sharing & Disclosure · Permission or license
BPG may exchange electronic health information with care organizations
BPG may participate in health information exchanges to share, request and receive electronic health information from other healthcare organizations. The stated purposes are treatment, payment and healthcare operations.
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We may also use PHI to:
Participate in health information exchanges (HIEs) so that we can share, request, and receive electronic health information from other health care organizations for treatment, payment, and healthcare operations purposes as described above.
Qualifications & exceptions
The exchanges serve treatment, payment and healthcare operations.
Sharing & Disclosure · Company commitment
Third-party PHI access requires a written protective agreement
BPG may engage third parties for payment and healthcare operations. When a third party needs PHI to perform those services on BPG’s behalf, BPG requires a written agreement protecting it and says it provides only the minimum PHI needed for the intended purpose.
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Engage third parties to assist with our payment and healthcare operations. If any such third party needs access to PHI to perform its services on our behalf, we will require that third party to enter a written agreement that protects the PHI. We provide only the minimal PHI to accomplish the intended purpose of the use and sharing of the PHI.
Qualifications & exceptions
Access must be needed for services on BPG’s behalf; the PHI supplied is limited to the intended purpose.
Cross-references
qualifies (model-proposed): PHI supports service operations and quality improvement — When BPG engages payment or operations vendors needing PHI on its behalf, its written-agreement and minimum-PHI commitments apply to that access.
Sharing & Disclosure · Permission or license
BPG may communicate with people involved in care and payment
BPG may use PHI to communicate with family and friends involved in your care and its payment, only to the extent those people are legally authorized.
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Communicate with family and friends who are involved in your care and payment for care to the extent they are legally authorized.
Qualifications & exceptions
The family members or friends must be legally authorized.
Sharing & Disclosure · Permission or license
PHI may be used without authorization for public health and protection
In limited circumstances permitted or required by law, BPG may use PHI without your authorization for public health activities such as disease reporting; protecting victims of abuse or neglect, including children and elders; or preventing or reducing a serious and imminent threat of harm to a person or the public. Although the section heading says “must disclose,” its operative introduction says “may be permitted or required by law”; it does not make every listed use mandatory.
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In certain limited circumstances, we may be permitted or required by law to use your PHI without your authorization, including:
For public health activities such as reporting certain diseases
To protect victims of abuse or neglect, such as child abuse and elder neglect
To prevent or lessen a serious and imminent threat of harm to a person or the public
Qualifications & exceptions
These are limited circumstances permitted or required by law; the harm provision requires a serious and imminent threat.
Health oversight and specialized government functions may use PHI
In limited circumstances permitted or required by law, BPG may use PHI without authorization for state and federal health oversight, such as physician licensing or disciplinary action, and for specialized government functions such as national security.
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In certain limited circumstances, we may be permitted or required by law to use your PHI without your authorization, including:
For state and federal health oversight activities such as physician licensing and disciplinary action
For specialized government functions such as national security
Qualifications & exceptions
Use without authorization is limited to circumstances permitted or required by law.
The notice allows certain death-related and transplant disclosures
In limited circumstances permitted or required by law, BPG may use PHI without authorization for organ donation and transplantation, and provide it to coroners, medical examiners and funeral directors in limited circumstances. The notice does not describe the detailed legal conditions for these cases.
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In certain limited circumstances, we may be permitted or required by law to use your PHI without your authorization, including:
To coroners, medical examiners, and funeral directors in limited circumstances
For organ donation and transplantation
Qualifications & exceptions
The introductory legal limits apply; disclosures to coroners, medical examiners and funeral directors are expressly limited.
Marketing, sale and unlisted purposes require written authorization
For the insurance-offering therapy PHI covered by this notice, BPG requires prior written authorization for marketing uses or disclosures and sale of PHI. Written authorization is also required for purposes not described in the notice. You may revoke an authorization you previously provided. The notice does not describe a revocation procedure or its effect on earlier authorized uses.
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This Notice applies to BPG's therapy services that are provided by independent therapists on the BetterHelp platform in connection with its Insurance Offering (“Services”).
Your written authorization is required prior to:
Use or disclosure of PHI for marketing
Sale of PHI
We will not use or disclose PHI for the purposes listed above, or for any other purpose not described in this Notice, without your written authorization. You have the right to revoke any authorization you previously provided.
Qualifications & exceptions
Authorization must be written and precede marketing uses or disclosures and PHI sale.
Not stated here
The revocation procedure and effect on prior uses are not stated.
The linked material associated with “Use or disclosure of PHI for marketing” is not supplied here; this card reports only the notice’s written-authorization rule and does not describe that material.
You may obtain an accounting of certain PHI disclosures
Request a disclosure accounting by emailing hipaarequests@betterhelp.com. It excludes treatment, payment, healthcare operations and certain other purposes, so it is not a list of every disclosure. The first accounting in a 12-month period is free; BPG may charge a reasonable fee for additional requests during that period.
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You have the right to receive an accounting of we's disclosures of your PHI, except disclosures for treatment, payment, health care operations and certain other purposes. To request an accounting of disclosures, email your request to hipaarequests@betterhelp.com. Your first accounting in any 12-month period will be provided without a charge. We may charge a reasonable fee for additional requests within the 12-month period.
Qualifications & exceptions
Treatment, payment, healthcare operations and certain other disclosures are excluded; only the first accounting per 12 months is necessarily free.
Cross-references
contrast (model-proposed): BPG discloses PHI to your therapist for treatment — The notice describes routine treatment disclosure of PHI while excluding treatment disclosures from the accounting right. The accounting therefore does not provide a list of every treatment disclosure; this is a reviewed limit rather than a contradiction.