Patient Privacy Notice
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Purpose of this Notice: 911 Billing Services by their contracts with ambulance services is
required by law to maintain the privacy of certain confidential health care information, known
as protected health information or PHI, and to provide you with a notice of our legal duties and
privacy practices with respect to your PHI. This Notice describes your legal rights, advises you
of our privacy practices, and lets you know how 911 Billing Services is permitted to use and
disclose PHI about you. 911 Billing Services is also required to abide by the terms of the
version of this Notice currently in effect. We may use this information after we obtain your
consent, and in emergency and other situations without your immediate consent.
Uses and Disclosures of PHI: 911 Billing Services may use PHI for the purposes of treatment,
payment, and other health care operations. Examples of our use of your PHI:
For treatment. This includes such things as verbal and written information that we obtain about
you and use pertaining to your medical condition and treatment provided to you by us and other
medical personnel (including doctors and nurses who give orders to allow us to provide treatment
to you). It also includes information we give to other health care personnel to whom we transfer
your care and treatment, and includes transfer of PHI via radio or telephone to the hospital as
well as providing the hospital with a copy of the written record we create in the course of
providing you with treatment and transport. For payment. This includes any activities we must
undertake in order to get reimbursed for the services we provide to you, including such things
as organizing your PHI and submitting bills to insurance companies (either directly or through a
third party billing company), management of billed claims for services rendered, medical
necessity determinations and reviews, utilization review, and collection of outstanding
accounts. For health care operations. This includes quality assurance activities, licensing, and
training programs to ensure that our personnel meet our standards of care and follow established
policies and procedures, obtaining legal and financial services, conducting business planning,
processing grievances and complaints, creating reports that do not individually identify you for
data collection purposes, fundraising, and certain marketing activities.