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NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

This notice explains how your health information may be used and your rights regarding that information.

I. WHO WE ARE

This Notice of Privacy Practices (“Notice”) describes the privacy practices of FourConcept Marketing LLC d/b/a SabaRX (“SabaRX”), OpenLoop Health Care Partners, P.C. (“OpenLoop”), affiliated licensed healthcare providers, and authorized workforce members involved in providing healthcare services through the telehealth platform.

Healthcare services are provided exclusively by OpenLoop and its affiliated licensed healthcare providers.

III. USES AND DISCLOSURES OF PHI THAT DO NOT REQUIRE YOUR WRITTEN AUTHORIZATION

We may use and disclose your PHI without your written authorization for the following purposes, subject to applicable law.

A. Treatment, Payment, and Healthcare Operations

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. This includes disclosures to physicians, pharmacies, laboratories, healthcare providers, and other individuals involved in your treatment.

Payment

We may use and disclose your PHI to obtain payment for healthcare services provided to you, including billing, claims management, eligibility verification, utilization review, and payment collection activities.

Healthcare Operations

We may use and disclose your PHI for healthcare operations activities, including:

  • Quality assessment and improvement;
  • Provider credentialing and performance evaluation;
  • Business planning and administration;
  • Compliance and auditing activities;
  • Customer service and complaint resolution;
  • Fraud, waste, and abuse detection; and
  • Other operational activities permitted under HIPAA.

B. Family Members, Friends, and Caregivers

We may disclose PHI to family members, close personal friends, caregivers, or others identified by you if:

  • You agree to the disclosure;
  • You are given the opportunity to object and do not object; or
  • We reasonably infer from the circumstances that you do not object.

If you are unavailable or incapacitated, we may use professional judgment to determine whether disclosure is in your best interest.

C. Public Health Activities

We may disclose PHI for public health purposes, including:

  • Preventing or controlling disease, injury, or disability;
  • Reporting adverse events or product recalls;
  • Reporting abuse or neglect where required by law; and
  • Reporting communicable disease exposures.

D. Victims of Abuse, Neglect, or Domestic Violence

We may disclose PHI to authorized governmental agencies if we reasonably believe you are a victim of abuse, neglect, or domestic violence, as permitted or required by law.

E. Health Oversight Activities

We may disclose PHI to health oversight agencies authorized by law to conduct audits, investigations, inspections, licensure activities, and other regulatory functions.

F. Judicial and Administrative Proceedings

We may disclose PHI in response to court orders, subpoenas, discovery requests, or other lawful legal processes, as permitted by law.

G. Law Enforcement

We may disclose PHI to law enforcement officials as required or permitted by law.

H. Coroners, Medical Examiners, and Funeral Directors

We may disclose PHI to coroners, medical examiners, and funeral directors as authorized by law.

I. Research

We may use or disclose PHI for research purposes when approved by an Institutional Review Board (“IRB”) or Privacy Board, or as otherwise permitted by law.

J. Serious Threat to Health or Safety

We may use or disclose PHI to prevent or lessen a serious and imminent threat to health or safety.

K. Specialized Government Functions

We may disclose PHI for specialized government functions, including military, national security, and correctional institution purposes, as permitted by law.

L. Workers’ Compensation

We may disclose PHI as necessary to comply with workers’ compensation laws or similar programs.

M. As Required by Law

We may use or disclose PHI when required by applicable federal, state, or local law.

IV. USES AND DISCLOSURES THAT REQUIRE YOUR WRITTEN AUTHORIZATION

A. Marketing and Sale of PHI

We will obtain your written authorization before:

  • Using or disclosing PHI for marketing purposes where authorization is required by HIPAA; or
  • Selling PHI in exchange for remuneration.

Other uses and disclosures not described in this Notice will require your written authorization.

You may revoke your authorization at any time in writing, except to the extent action has already been taken in reliance on your authorization.

B. Highly Confidential Information

Certain types of health information may receive additional protections under federal or state law, including information relating to:

  • Mental health treatment;
  • Substance use disorder treatment;
  • HIV/AIDS testing or treatment;
  • Sexually transmitted infections;
  • Genetic testing;
  • Sexual assault;
  • Child abuse or neglect; and
  • Domestic violence.

We will obtain any required authorization before disclosing Highly Confidential Information except where disclosure is otherwise permitted or required by law.

V. YOUR RIGHTS REGARDING YOUR PHI

A. Right to Access and Obtain Copies

You have the right to inspect and obtain copies of your PHI, subject to limited exceptions permitted by law.

Requests may be submitted to: support@SabaRX.com

Reasonable cost-based fees may apply as permitted by HIPAA.

B. Right to Request Amendments

You have the right to request amendments to your PHI if you believe information is inaccurate or incomplete.

C. Right to Request Restrictions

You have the right to request restrictions on certain uses and disclosures of PHI. While we are not always required to agree, we will comply when required by law.

D. Right to Confidential Communications

You may request confidential communications by alternative means or at alternative locations.

E. Right to an Accounting of Disclosures

You may request an accounting of certain disclosures of your PHI made during the previous six (6) years.

F. Right to Receive a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

G. Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

You may contact:

Privacy Officer

FourConcept Marketing LLC d/b/a SabaRX
30 Overbrook Lane
Glen Head, NY 11545
Email: owner@SabaRX.com

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

VI. TELEHEALTH TECHNOLOGY AND PLATFORM PROVIDERS

SabaRX utilizes technology and communication platforms operated by Immuto, Inc. d/b/a Tellescope (“Tellescope”) in connection with telehealth services.

Protected health information collected through the telehealth platform may be transmitted securely through Tellescope to OpenLoop and affiliated licensed healthcare providers for treatment, payment, and healthcare operations purposes.

 

Medical records, clinical decisions, prescriptions, and healthcare services are maintained and controlled by OpenLoop in accordance with HIPAA and applicable law.

SabaRX does not provide medical care, practice medicine, or control independent medical decision-making.

VII. CHANGES TO THIS NOTICE

We reserve the right to change the terms of this Notice at any time. Updated Notices may apply to all PHI maintained by us, including information created or received before the revision.

Updated versions will be posted on: SabaRX