2013 Practitioner and Provider Manual - Presbyterian Healthcare ...

Presbyterian Customer Service Centerthe privacy practices of PHP and PresbyterianInsurance Company. This notice helps membersunderstand how Presbyterian protects the privacyof their health information and also informsmembers of their health information rights.Member Health Information RightsThe rights described below are subject tolimitations and conditions.Legal Authority to Make Health Care Decisions forMinors or OthersUsually, health information rights may be given to aperson with legal authority to make health caredecisions for a child or other person (for example, aparent or legal guardian). There are exceptions. Forexample, under New Mexico law, there are anumber of circumstances in which minors (peopleunder the age of 18) may consent to receive healthcare services without parental consent, includingthe following:Examination and treatment for sexuallytransmitted diseasesPregnancy, prenatal, delivery, and postnatalcareFamily planning servicesBehavioral health servicesTreatment in a licensed facility for substanceabuseLife sustaining treatmentAnatomical gifts (must be 16)Right to See and Get a Copy of Health InformationMembers have the right to see and get a copy ofmost of their health information. Their request tosee or get a copy of health records must be madein writing.Right to Amend Incorrect or Incomplete HealthInformationMembers have the right to request that we changeincorrect or incomplete health information kept inour records. The member may be required to makethe request in writing. Presbyterian may deny therequest if we believe that the information in ourrecords is correct and complete. If the request isdenied, the member receives written noticeincluding the reason for the denial and how themember may appeal our decision.Right to Request Restrictions of Health InformationMembers have the right to request that healthinformation is not used or shared for certainpurposes. We are not required by law to agree tothe request. For example, we do not agree to limitthe use or sharing of health information during ahealth emergency.Right to Request Confidential Communications ofHealth InformationMembers have the right to request that healthinformation is delivered in a certain way or at acertain location. We must agree to a reasonablerequest. We may deny the request if it is againstthe law or our policies.Right to Request an Accounting of DisclosuresMembers have the right to request an Accountingof Disclosures Report. This report shows when19-82014 Practitioner and Provider Manual - Ver. 3