Your rights regarding your health information

You have the following rights:

Right to inspect and copy

You have a right to look at and get a copy of health information that may be used to make decisions about your care and payment for your care as long as we maintain them. There are limited circumstances in which we may deny your request to inspect and copy these records. If you are denied access to health information, you may request that the denial be reviewed. If you request a copy of the information, we may charge a fee for the cost of copying, mailing, and other costs associated with your request.

To inspect and copy health information, contact the Priority Health Compliance Department.

Right to correct your health and claims record

You have the right to request that Priority Health amend any information that we use to make decisions about you. Generally, Priority Health will not amend these records if we did not create them or we determine that they are accurate and complete. To request that we amend your health information, you must write to Priority Health's Compliance department and include a reason to support the change.

Right to know an accounting of disclosures

You have the right to request an "accounting of disclosures," which is a list of the disclosures we made regarding your health information for six years prior to the date of your request, except the following types of disclosures: 

  • To carry out treatment, payment or health care operations
  • To you or your personal representative
  • For which you have given your written permission (authorization)
  • For national security or intelligence purposes
  • To correctional institutions or to law enforcement, as described in this notice
  • As part of a limited data set (a collection of information that does not directly identify you)

Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within 12 months will be free. We may charge you for the costs of providing additional lists. We will notify you of the cost and you can choose to withdraw or modify your request at that time before any fees are incurred.

Right to request restrictions

You have the right to request a limit on the health information that we use or disclose about you. We are not required by law to agree to your request. If we do agree to your request for restriction, we will comply with it unless the information is needed to provide emergency treatment. To request restrictions, you must make your request in writing to Priority Health's Compliance department. In your request, you must tell us:

  • What information you want to limit
  • Whether you want to limit our use, disclosure or both
  • To whom you want the limits to apply

Priority Health will notify you (either in writing or by telephone) when we receive your request and of any restrictions to which we agree.

Right to request confidential communications

You may request that Priority Health communicate with you through alternative means or an alternative location. For example, you might want us to send health information (e.g., Explanation of Benefits (EOB) and other claim information) to a different address. Priority Health will agree to your request if you clearly state in writing that communicating with you without using the alternative means or location could endanger you. Priority Health will accommodate your request if it is reasonable, specifies the alternative means or location, and permits us to collect premiums and pay claims.

To request confidential communications, you must make your request in writing to Priority Health's Compliance department.

Right to a paper copy of this notice

You have the right to a paper copy of Priority Health's current Notice upon request. To obtain a paper copy of this Notice: