Privacy Policy
Concergix MP, LLC
Notice of Privacy Practices
Effective Date: November 12, 2024
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.
Concergix MP, LLC (“we” or “us”) is committed to protecting the privacy of your medical information. As you receive pharmacy and medication-related services through us, we create records of the services we provide to ensure high-quality service and compliance with applicable laws. This Notice outlines your rights regarding your medical information, our obligations, and the ways we may use and disclose your information.
The privacy practices described in this Notice apply to Concergix MP, LLC, and its employees, contractors, and agents who are authorized to handle protected health information (PHI) as part of their work responsibilities.
Right to Review and Receive a Copy
You have the right to review and receive a paper or electronic copy of your medical information. You may also request that we send a copy of your information to a third party. Requests must be submitted in writing to our Privacy Officer. Under certain circumstances, we may deny your request. We may charge a reasonable cost-based fee for providing copies.
Right to Request a Restriction on Uses and Disclosures
You may ask us not to use or disclose certain parts of your medical information for treatment, payment, or healthcare operations or to individuals involved in your care. While we are not required to agree to all requests, we will comply with any restriction to which we agree, except in emergencies or when otherwise required by law.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way or at a specified location. For example, you may request that we contact you at a certain phone number or only send mail to a specific address. To request this, submit a written request to our Privacy Officer specifying your preferences.
Right to Request Amendment
If you believe there is an error in your medical information, you may request that we correct it. Requests must be made in writing to our Privacy Officer, including an explanation of why a correction is necessary. We may deny requests under certain conditions but will inform you of the decision and allow you to submit a statement of disagreement if applicable.
Right to Request an Accounting of Disclosures
You have the right to request a list of disclosures of your medical information over the last six years, excluding those for treatment, payment, and healthcare operations. Requests must be made in writing to our Privacy Officer, specifying the timeframe for the disclosure list.
Right to Receive Breach Notice
You have the right to be informed if a breach of your medical information compromises its privacy or security.
Right to Choose Someone to Act for You
If someone has medical power of attorney or is your legal guardian, they may exercise your rights and make choices regarding your medical information, pending verification of their authority.
Right to Receive Copy of This Notice
You may request a copy of this Notice at any time. A copy is also available on our website at www.concergix.com. For a paper copy, contact our Compliance Officer.
Concergix MP, LLC is legally obligated to:
Treatment
We may use and disclose your information to provide pharmacy services, coordinate care, and consult with other healthcare providers.
Payment
We may use and disclose your information to bill and collect payment for services provided. For example, we may share information with your insurance provider to process claims.
Health Care Operations
We may use your information for operational purposes, such as quality improvement, staff training, and customer service.
Family Members and Friends Involved in Your Care
We may disclose relevant information to individuals involved in your care or payment for your care, with your consent or as permitted by law.
Compliance with Law
We may disclose your information as required by federal or state law, including to the Department of Health and Human Services.
Public Health Activities and Health Oversight
We may disclose information for public health purposes, reporting adverse drug reactions, and other activities to protect public health and safety.
Workers’ Compensation, Legal Proceedings, and Law Enforcement
We may disclose your information as required for workers’ compensation, legal actions, or to comply with law enforcement requests.
Business Associates
We may share information with business associates that perform services on our behalf, with an obligation to protect your information.
Any uses or disclosures not covered by this Notice will require your written authorization. Certain laws may provide additional protections for specific medical information, such as information related to HIV/AIDS, mental health, or substance abuse. We will comply with these requirements as applicable.
How You May Revoke Your Authorization
If you provide us with authorization to use or disclose your information, you may revoke it at any time. This revocation will not affect prior uses or disclosures made in reliance on your authorization. To revoke authorization, submit a written request to our Privacy Officer.
Changes to This Notice
Concergix MP, LLC reserves the right to change this Notice at any time. Any changes will apply to all information we maintain. The current Notice will be posted on our website and will specify the effective date. A paper copy is available upon request.
For More Information or to Report a Complaint
If you have questions or concerns about our privacy practices, please contact our Privacy Officer. If you believe your rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Contact Information:
Compliance Officer
Concergix MP, LLC
10203 Cedar Pond Drive, Vienna, VA 22182
Phone: 703-828-5639
Email: [email protected]
