Lineagen, Inc.
NOTICE OF PRIVACY PRACTICES

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.

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI.

Lineagen takes the privacy of your child’s (your) health information seriously. We are required by law to keep your health information private and provide you with this Notice of Privacy Practices. We will act according to the terms of this Notice. We reserve the right to change this Notice of Privacy Practices and to make any new practices effective for all PHI that we keep. Any changes made to the Notice of Privacy Practices will be posted on our Website (www.lineagen.com).

PHI is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health condition and related health care services.

USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about you for treatment, payment and healthcare operations. The following examples are not comprehensive, but serve as a description of the types of uses and disclosures that may be made.

Treatment: We may use or disclose your PHI to a physician or other healthcare provider providing treatment to you at the request of you or your physician.

Payment: We may use your PHI, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan may undertake, such as making a determination of your eligibility for coverage.

Healthcare Operations: We may use and disclose your PHI, as needed, in order to support to he business activities of our company. These activities include, but are not limited to, quality assessment and improvement activities, accreditation, certification, licensing, competency reviews and conducting or arranging for other business activities that our company is involved it.

We may share your PHI with third party ‘business associates’ that perform various activities on our behalf, such as billing. Whenever an arrangement between our company and a business associate involves the use or disclosure of your PHI, we will have a written contract in place that contains terms that will protect the privacy of your PHI.

We may contact you to schedule, or to remind you of an appointment. We may use or disclose your PHI, as necessary to obtain feedback from you regarding our services. We may use or disclose your PHI, as necessary to provide you with information about health-related services that may be of interest to you. We may also use and disclose your PHI for other marketing activities. For example, your name and address may be used to send you information about our company and the services we offer. You do have the right to contact our Privacy & Security Office to request that these materials not be sent to you.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION BASED UPON YOUR WRITTEN AURTHORIZATION

Other uses and disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke this authorization, at any time, in writing, except to the extent that Lineagen or Lineagen’s business associates has taken any action in reliance on the use of disclosure indicated in the authorization.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION THAT MAY BE MADE WITHOUT YOUR CONSENT, AUTHORIZATION OR OPPORTUNITY TO OBJECT

    •    In an emergency
    •    When communication or language is very limited
    •    When required by law
    •    When there are risks to public health
    •    To conduct health oversight activities
    •    To report suspected child abuse or neglect
    •    To certain government agencies who monitor activity
    •    In connection with court or government cases
    •    For law enforcement purposes
    •    To coroners and funeral directors and for organ donation
    •    If health or safety is seriously threatened

YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION

You have the right to review and to ask for a copy of your health information. You may inspect and obtain a cop of your PHI that is maintained in a designated record set for as long as we maintain the PHI. A ‘designated record set’ contains medical, billing and any other records that is used for making decisions about you. In certain situations, you may not be allowed to inspect or copy your PHI. For example, the Clinical Laboratory Improvement Amendments (CLIA) only permit authorized persons, as defined by state law, to receive clinical laboratory test records and results.

You have the right to request that access to your health information be limited. You may ask us not to disclose any part of your PHI for the purposes of treatment, payment and healthcare operations. Any request must state the specific restriction requested and to whom you want the restriction to apply. We will consider your request but are not legally required to accept it. In addition, you may not limit the uses and disclosures that we are legally required to make.

You have the right to request to receive private communications in another way or at another location. We will agree to reasonable requests.

You have the right to request changes to your health information. This means you may ask for changes to be made (amended) in PHI about you in a designated record set for as long as we keep this information. In certain cases, we may deny your request for a change. If we deny your request, you have the right to file a statement with Lineagen’s Privacy and Security Office, stating that you disagree. We may prepare a response to your statement and will provide you with a copy of this response. Requests for changes must be in writing.

You have the right to receive a record of when your health information has been disclosed by Lineagen. You have the right to request an accounting of disclosures for purposes other than treatment, payment and healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures that have been made to you and for certain other purposes. Requests must be made in writing to Lineagen’s Privacy and Security Office and should state the requested time period.

You have the right to obtain a paper copy or electronic copy of this notice.

QUESTIONS OR TO FILE A COMPLAINT

Please contact Lineagen if you have questions regarding your privacy rights, or to make any of the requests described in this Notice of Privacy Practices. If you believe your privacy rights have been violated, you may file a complaint by contacting Lineagen’s Privacy & Security Office by phone, e-mail or mail at:

Lineagen, Inc.
c/o Privacy & Security Office
423 Wakara Way, Suite 200 Salt Lake City, UT 84108

Email: security@lineagen.com
Phone: 1-888-888-OPEN

You may also file a written complaint with the Secretary of Health and Human Services (www.hhs.gov/ocr/hipaa). We will not retaliate against you if you file a complaint about our privacy practices.