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.
Who We Are
This Notice describes the privacy practices of Navican Genomics, Inc. (“
we” or “
us”), including all Navican Genomics, Inc. health care professionals and employees with access to your medical or billing records or health information about you (“
Protected Health Information” or “
Our Privacy Obligations
We understand that your health information is personal and we are committed to protecting your privacy. In addition, we are required by law to maintain the privacy of your Protected Health Information, to provide you with this Notice
of our legal duties and privacy practices with respect to your Protected Health Information, and to notify you in the event of a breach of your unsecured Protected Health Information. When we use or disclose your Protected Health
Information, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
Permissible Uses and Disclosures Without Your Written Authorization
We use your Protected Health Information for treatment, payment, healthcare operations, and other purposes permitted or required by law. In certain situations, which we will describe below under “Uses and Disclosures Requiring Your
Written Authorization,” we must obtain your written authorization to use and/or disclose your PHI. We may, however, use and disclose your PHI without your specific written authorization for the following purposes:
Treatment. We use and disclose your PHI to provide and coordinate the treatment and other services you receive – for example, to conduct laboratory testing, provide your test results to your physician, or consult with your
physician or a clinical review team about your laboratory test. We may use your information to recommend alternative treatments or therapies or to describe a health-related product or service. We may disclose PHI to health care
providers involved in your treatment. We may also provide refill reminders or communicate with you about a drug or biologic that is currently prescribed to you by your physician.
Payment. We may use and disclose your PHI to obtain payment for health care services that you receive. For example, we will submit a claim that identifies you and the type of services we performed for you to your health insurer,
HMO, or other company or program that arranges or pays the cost of your health care ("
Your Payor") to verify that Your Payor will pay for the health care and/or obtain payment from Your Payor. We may also disclose PHI to your other health care providers when such PHI is required for them to receive payment for
services they render to you.
Health Care Operations. We may use and disclose your PHI for our health care operations, which include internal administration and planning and various activities that monitor, evaluate and improve the quality of the services
we provide. For example, we may use PHI to evaluate the services our laboratories and staff provide and to train our staff. We may also de-identify and/or aggregate PHI, including but not limited, statistical analyses that will
inform the services we provide. We may also disclose PHI to resolve any complaints you may have and ensure that you are satisfied with our services.
Organized Health Care Arrangement. NAVICAN participates in an organized health care arrangement (OHCA) with other health care providers, including Intermountain Healthcare and other experts that serve on Intermountain Healthcare’s
Molecular Tumor Board. NAVICAN may share PHI with its OHCA for treatment, payment and joint health care operations.
Business Associates. We may use or disclose your PHI to other companies or individuals to assist us in providing specific services requiring the use and disclosure of PHI. These other entities, known as “business associates,”
are contractually required to appropriately safeguard your PHI in accordance with applicable law. Our business associates must only use your PHI to perform the job we have asked them to do. For example, we may provide information
to companies that assist us with billing of our services.
Disclosure to Relatives, Close Friends and Other Caregivers. We may use or disclose your PHI to a family member, other relative, a close personal friend or any other person identified by you when you are present for, or otherwise
available prior to, the disclosure, if: (1) we obtain your agreement or provide you with the opportunity to object to the disclosure and you do not object; or (2) we reasonably infer that you do not object to the disclosure.
If you are not present for or unavailable prior to a disclosure (e.g., when we receive a telephone call from a family member or other caregiver), we may exercise our professional judgment to determine whether a disclosure is in
your best interests. If we disclose information under such circumstances, we would disclose only information that is directly relevant to the person’s involvement with your care.
As Required by Law. We may use and disclose your PHI when required to do so by any applicable federal, state or local law.
Public Health Activities. We may disclose your PHI: (1) to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; (2) to report child abuse and neglect
to a government authority authorized by law to receive such reports; (3) to report information about products under the jurisdiction of the U.S. Food and Drug Administration; (4) to alert a person who may have been exposed to a
communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and (5) to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace
Victims of Abuse, Neglect or Domestic Violence. We may disclose your PHI if we reasonably believe you are a victim of abuse, neglect or domestic violence to a government authority authorized by law to receive reports of such
abuse, neglect, or domestic violence.
Health Oversight Activities. We may disclose your PHI to an agency that oversees the health care system and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare
Judicial and Administrative Proceedings. We may disclose your PHI in the course of a judicial or administrative proceeding in response to a legal order or other lawful process.
Law Enforcement Officials. We may disclose your PHI to the police or other law enforcement officials as required by law or in compliance with a court order.
Decedents. We may disclose your PHI to a coroner or medical examiner as authorized by law.
Organ and Tissue Procurement. We may disclose your PHI to organizations that facilitate organ, eye or tissue procurement, banking or transplantation.
Clinical Trials and Other Research Activities. We may use and disclose your PHI for research purposes pursuant to a valid authorization from you or when an institutional review board or privacy board has waived the authorization
requirement. Under certain circumstances, your PHI may be disclosed without your authorization to researchers preparing to conduct a research project, for research or decedents or as part of a data set that omits your name and
other information that can directly identify you.
Health or Safety. We may use or disclose your PHI to prevent or lessen a serious and imminent threat to a person’s or the public’s health or safety.
Specialized Government Functions. We may use and disclose your PHI to units of the government with special functions, such as the U.S. military or the U.S. Department of State under certain circumstances required or authorized
Workers’ Compensation. We may disclose your PHI as authorized by and to the extent necessary to comply with state law relating to workers’ compensation or other similar programs.
Uses and Disclosures Requiring Your Written Authorization
For any purpose other than the ones described above, we only use or disclose your Protected Health Information when you give us your written authorization.
Marketing. We must obtain your written authorization prior to using your PHI for purposes that are marketing under the HIPAA privacy rules. For example, we will not accept any payments from other organizations or individuals
in exchange for making communications to you about treatments, therapies, health care providers, settings of care, case management, care coordination, products or services unless you have given us your authorization to do so or
the communication is permitted by law.
We may, however, market to you in a face-to-face encounter and give you promotional gifts of nominal value without obtaining your written authorization.
Sale of PHI. We will not make any disclosure of PHI that is a sale of PHI without your written authorization.
Uses and Disclosures of Your Highly Confidential Information. Federal and state law requires special privacy protections for certain health information about you ("
Highly Confidential Information"), including HIV/AIDS test results and other health information that is given special privacy protection under state or federal laws other than HIPAA. In order for us to disclose any Highly Confidential
Information for a purpose other than those permitted by law, we must obtain your authorization.
You may revoke any authorization you have provided to us, except to the extent that we have taken action in reliance upon it, by delivering a written revocation statement to our Privacy Department identified below.
Your Individual Rights
For Further Information; Complaints. If you desire further information about your privacy rights, are concerned that we have violated your privacy rights or disagree with a decision that we made about access to your PHI, you
may contact our Privacy Department. You may also file written complaints with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights ("
OCR"). Upon request, our Privacy Department will provide you with the correct address for the OCR. We will not retaliate against you if you file a complaint with us or the OCR.
Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of your PHI (1) for treatment, payment and health care operations, (2) to individuals (such as a family member, other relative,
close personal friend or any other person identified by you) involved with your care or with payment related to your care, or (3) to notify or assist in the notification of such individuals regarding your location and general condition.
While we will consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction unless the request is to restrict our disclosure to a health plan for purposes of carrying out payment
or health care operations, the disclosure is not required by law and the information pertains solely to a health care item or service for which you (or someone on your behalf other than the health plan) have paid us out of pocket
in full. If you wish to request additional restrictions, please obtain a request form from our Privacy Department and submit the completed form to the Privacy Department. We are required to notify you if we fail to approve a restriction
Right to Receive Communications by Alternative Means or at Alternative Locations. You may request, and we will accommodate, any reasonable written request for you to receive your PHI by alternative means of communication or
at alternative locations.
Right to Inspect and Copy Your Health Information. You may request access to your medical record file and billing records maintained by us in order to inspect and request copies of the records. Under limited circumstances,
we may deny you access to a portion of your records. If you desire access to your records, please obtain a record request form from our Privacy Department and submit the completed form to the Privacy Department. If you request
copies, we may charge you a reasonable, cost-based fee for providing the copies.
Right to Amend Your Records. You have the right to request that we amend your PHI that we maintain. If you desire to amend your records, please obtain an amendment request form from our Privacy Department and submit the completed
form to the Privacy Department. We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.
Right to Receive An Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of your PHI made by us during any period of time prior to the date of your request provided such period does not
exceed six years. If you request an accounting more than once during a twelve (12) month period, we may charge you a reasonable fee for the accounting statement.
Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you agreed to receive such notice electronically.
Right to Receive Notice in the Event of a Breach. In the event of a breach of your PHI, you have the right to be notified of the breach and to be provided, to the extent available, with a description of the breach, a description
of the types of information involved in the breach, the steps you should take to protect yourself from potential harm, a brief description of what we are doing to investigate the breach, mitigate the harm, and prevent further breaches,
as well as contact information for questions or concerns regarding the breach.
Effective Date and Duration of This Notice
Effective Date. This Notice is effective on April 1, 2018.
Right to Change Terms of this Notice. We may change the terms of this Notice at any time. If we change this Notice, we may make the new notice terms effective for all your Protected Health Information that we maintain, including
any information created or received prior to issuing the new notice. If we change this Notice, we will post the new notice on our website at
. You also may obtain any new notice by contacting our Privacy Department.
You may contact our Privacy Department at:
Navican Genomics, Inc.
4655 Executive Drive, Suite 230
San Diego, CA 92121