Health & Wellness Services
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.
Quest Diagnostics Health & Wellness Services is committed
the privacy of
your identifiable health information. This information is known as ?protected
health information? or ?PHI.? PHI includes laboratory test orders and test
results as well as invoices for the healthcare services we provide.
Quest Diagnostics is
required by law to maintain the privacy of your PHI. We are also required to
provide you with this Notice of our legal duties and privacy practices upon
request. It describes our legal duties, privacy practices and your patient rights
as determined by the Health Insurance Portability and Accountability Act
(HIPAA) of 1996. We are required to follow the terms of this Notice currently
in effect. We are required to notify affected individuals in the event of a
breach involving unsecured protected health information.PHI is stored electronically and is subject
to electronic disclosure.
How We May Use or
Disclose Your Health Information
We use your PHI for
treatment, payment, or healthcare operations purposes and for other purposes
permitted or required by law. Not every use or disclosure is listed in this
Notice, but all of our uses or disclosures of your health information will fall
into one of the categories listed below.
We need your written authorization to use or disclose your health information
for any purpose not covered by one of the categories below. Subject to
compliance with limited exceptions, we will not use or disclose psychotherapy
notes, use or disclose your PHI for marketing purposes or sell your PHI, unless
you have signed an authorization. You may revoke any authorization you sign at
any time. If you revoke your
authorization, we will no longer use or disclose your health information for
the reasons stated in your authorization except to the extent we have already
taken action based on your authorization.
The law permits us to
use and disclose your health information for the following purposes:
Quest Diagnostics collects PHI from you as we provide our
wellness or immunization services. Treatment
is one of the most common reasons we may use or disclose your PHI.For example, we may provide you with your
screening results or use your information to contact you to obtain another
specimen, if necessary.
Quest Diagnostics will
use and disclose your PHI for purposes of billing and payment. For example, we
may disclose your PHI to health plans or other payers to determine whether you
are enrolled with the payer or eligible for health benefits or to obtain
payment for our services. If you are insured under another person?s health
insurance policy (for example, parent, spouse, domestic partner or a former
spouse), we may also send invoices to the subscriber whose policy covers your
Quest Diagnostics may use
and disclose your PHI for activities necessary to support our healthcare
operations, such as performing quality checks on our testing, internal audits,
arranging for legal services or developing reference ranges for our tests.
We may provide your PHI
to other companies or individuals that need the information to provide services
to us. These other entities, known as "business associates," are
required to maintain the privacy and security of PHI. For example, we may provide
information to companies that assist us with billing of our services. We may
also use an outside collection agency to obtain payment when necessary.
As Required by Law
We may use and disclose
your PHI as required by law.
Law Enforcement Activities and Legal Proceedings
We may use and disclose
your PHI if necessary, to prevent or lessen a serious threat to your health and
safety or that of another person. We may also provide PHI to law enforcement officials, for example, in response to a
warrant, investigative demand or similar legal process, or for officials to
identify or locate a suspect, fugitive, material witness, or missing person. We
may also disclose PHI to appropriate agencies if we reasonably believe an
individual to be a victim of abuse, neglect or domestic violence.
We may disclose your PHI as required to comply with a court or administrative
order. We may disclose your PHI in response to a subpoena, discovery request or
other legal process in the course of a judicial or administrative proceeding,
but only if efforts have been made to tell you about the request or to obtain
an order of protection for the requested information.
We may disclose PHI for research purposes when an
Institutional Review Board or privacy board has reviewed the research proposal
and established protocols to ensure the privacy of your PHI and determined that
the researcher does not need to obtain your authorization prior to using your
PHI for research purposes. We may also disclose information about decedents to
researchers under certain circumstances.
Other Uses and Disclosures
As permitted by HIPAA,
we may disclose your PHI to:
Public Health Authorities
The Food and Drug Administration
Health Oversight Agencies
Military Command Authorities
National Security and Intelligence
Organ and Tissue Donation Organizations
Coroners, Medical Examiners and Funeral
Workers Compensation Agents
We may also disclose
relevant PHI to a family member, friend, or anyone else you designate in order
for that person to be involved in your care or payment related to your care. We
may also disclose PHI to those assisting in disaster relief efforts so that
others can be notified about your condition, status and location.
Note Regarding State Law
For all of the above
purposes, when state law is more restrictive than federal law, we are required
to follow the more restrictive state law.
Your Patient Rights
Receive Test Information
You have the right to access
your PHI that we have created. You may receive your test results by completing
and submitting a request form. You may
call us at 1-877-686-6636 to obtain the request form. If your request for test
information is denied, you may request that the denial be reviewed.
Amend Health Information
You may request amendments to your PHI by making a written
request. However, we may deny the request in
cases (such as if we determine the PHI is
accurate). If we deny your request to change your PHI we will provide you with
a written explanation of the reason for the denial and additional information
regarding further actions that you may take.
Accounting of Disclosures
You have the right to
receive a list of certain disclosures of your PHI made by Quest Diagnostics in
the past six years from the date of your written request. Under the law, this
does not include disclosures made for purposes of treatment, payment, or
healthcare operations or certain other purposes.
You may request that we
agree to restrictions on certain uses and disclosures of your PHI. We are not
required to agree to your request, except for requests to limit disclosures to
your health plan for purposes of payment or healthcare operations when you have
paid us for the item or service covered by the request out-of-pocket and in
full and when the uses or disclosures are not required by law.
Request Confidential Communications
You have the right to
request that we send your health information by alternative means or to an
alternative address, and we will accommodate reasonable requests.
Copy of this Notice
You have the right to
obtain a paper copy of this Notice upon request.
How to Exercise Your Rights
You may write or send an
email to us with your specific request, including requesting a form to complete
to obtain a copy of your test results. Quest
Diagnostics will consider your request and provide you a response.
believe your privacy rights have been violated, you have the right to file a
complaint with us. You also have the right to file a complaint with the
Secretary of the U.S. Department of Health and Human Services, Office for Civil
Rights. Quest Diagnostics will not retaliate against any individual for filing
To file a complaint with us, or should you have any questions about this
Notice, send an email to us at
or write to us at the following address:
also contact the Privacy Officer at 800-222-0446, ext. 8954.
We reserve the right to
amend the terms of this Notice to reflect changes in our privacy practices, and
to make the new terms and practices applicable to all PHI that we maintain
about you, including PHI created or received prior to the effective date of the
Notice revision. Our Notice is displayed on our website and a copy is available