THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
PLEASE READ IT CAREFULLY.
Level IX Performance & Longevity (“Level IX,” “we,” “our,” or “us”) is committed to protecting the privacy and security of your Protected Health Information (“PHI”). This Notice of Privacy Practices (“Notice”) describes how your medical information may be used and disclosed, your rights regarding your health information, and our legal obligations under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, and other applicable federal and state laws.
Healthcare services available through the Level IX platform are provided by independently licensed physicians, nurse practitioners, physician assistants, and other qualified healthcare providers practicing through independent medical practices or professional entities. Those healthcare providers are responsible for creating and maintaining your medical records and complying with applicable healthcare privacy laws.
This Notice applies to the privacy practices of Level IX and, where applicable, healthcare services facilitated through the Level IX platform. Your treating healthcare provider or affiliated medical practice may maintain its own Notice of Privacy Practices. If a separate Notice applies to the healthcare services you receive, you will be provided access to that Notice as required by applicable law.
1. OUR LEGAL DUTIES
We are required by applicable law to:
- Maintain the privacy and security of your Protected Health Information (“PHI”);
- Provide you with this Notice of Privacy Practices;
- Comply with the privacy and security requirements of HIPAA and other applicable federal and state laws;
- Follow the privacy practices described in this Notice; and
- Notify you following a breach of your unsecured Protected Health Information whenever required by applicable law.
We reserve the right to revise this Notice at any time. Any revised Notice will apply to all Protected Health Information maintained by Level IX or, where applicable, by affiliated healthcare providers utilizing the Level IX platform, unless otherwise required by law. Revised versions will become effective upon posting to our website or as otherwise required by law.
2. WHAT IS PROTECTED HEALTH INFORMATION (PHI)?
Protected Health Information (“PHI”) includes information that identifies you and relates to:
- Your past, present, or future physical or mental health;
- Healthcare services provided to you;
- Payment for healthcare services; or
- Other information maintained as part of your medical record.
PHI may exist in paper, electronic, verbal, photographic, or other forms.
3. HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
We may use or disclose your PHI without your written authorization for purposes permitted or required by applicable law, including the following:
A. Treatment
We may use and disclose your PHI to provide, coordinate, and manage your healthcare.
Examples include:
- Reviewing your medical history
- Evaluating laboratory results
- Developing treatment plans
- Prescribing medications
- Coordinating with pharmacies
- Consulting with specialists
- Communicating with your primary care provider when authorized or permitted by law
B. Payment
We may use your PHI to obtain payment or facilitate payment for healthcare services.
Examples include:
- Processing payments
- Verifying transactions
- Responding to billing inquiries
- Collection activities where permitted by law
Level IX currently operates as a cash-pay healthcare platform and does not bill insurance unless otherwise stated.
C. Healthcare Operations
We may use your PHI for activities necessary to operate and improve healthcare services, including:
- Quality assessment
- Clinical review
- Compliance monitoring
- Credentialing
- Risk management
- Staff training
- Auditing
- Business planning
- Performance improvement
D. Appointment Reminders and Health-Related Communications
We may contact you regarding:
- Appointments
- Follow-up care
- Laboratory testing
- Medication reminders
- Wellness recommendations
- Administrative communications
Communications may occur by:
- Telephone
- SMS/Text Message
- Secure patient portal
E. Business Associates
Certain trusted vendors perform services on our behalf.
These organizations may receive Protected Health Information only as necessary to perform contracted services and are required by law and written agreement to safeguard your information.
Examples include:
- Electronic health record providers
- Payment processors
- Laboratories
- Pharmacies
- Technology vendors
- Secure cloud hosting providers
- Telehealth platform providers
F. As Required by Law
We may disclose Protected Health Information when required or permitted by federal, state, or local law.
Examples include:
- Court orders
- Subpoenas
- Public health reporting
- Law enforcement requests
- Regulatory investigations
- National security requirements
- Organ donation activities
- Medical examiner or coroner investigations
G. Public Health Activities
We may disclose Protected Health Information to appropriate public health authorities for activities authorized by law, including disease reporting, product recalls, and prevention of serious threats to public health or safety.
H. Health Oversight Activities
We may disclose Protected Health Information to governmental agencies responsible for oversight of healthcare providers and healthcare programs.
I. Workers’ Compensation
We may disclose Protected Health Information as authorized by workers’ compensation laws or similar programs.
J. Research
Your Protected Health Information may be used or disclosed for research purposes only as permitted by HIPAA and applicable law.
4. USES REQUIRING YOUR WRITTEN AUTHORIZATION
Except where otherwise permitted or required by law, we will obtain your written authorization before using or disclosing your Protected Health Information for purposes such as:
- Marketing communications where authorization is required
- Sale of Protected Health Information
- Certain uses involving psychotherapy notes
- Other disclosures requiring authorization under HIPAA
You may revoke your authorization at any time in writing, except to the extent action has already been taken in reliance upon your authorization.
5. YOUR RIGHTS
You have the following rights regarding your Protected Health Information:
Right to Inspect and Receive Copies
You may request access to your medical records and other Protected Health Information maintained by your healthcare provider, subject to applicable legal limitations.
Right to Request Corrections
If you believe information contained in your medical record is inaccurate or incomplete, you may request that it be amended.
Certain requests may be denied as permitted by law.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your Protected Health Information.
While we will consider your request, we are not always required to agree unless required by law.
Right to Confidential Communications
You may request that communications be sent to you through alternative methods or at alternative locations.
Reasonable requests will generally be accommodated.
Right to Receive an Accounting of Disclosures
You may request a list of certain disclosures of your Protected Health Information made during the period permitted by law.
Right to Receive a Paper Copy
You may obtain a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
Right to File a Complaint
You have the right to file a complaint if you believe your privacy rights have been violated.
You will not be retaliated against, denied treatment, or otherwise discriminated against for filing a complaint. Filing a complaint will not affect the quality of your care or your ability to receive healthcare services through the Level IX platform.
Complaints may be directed to:
Privacy Officer
Level IX Performance & Longevity
Email: support@levelixlabs.com
You may also file a complaint with the:
U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/ocr/privacy
6. ELECTRONIC COMMUNICATIONS
By using the Level IX platform, you acknowledge that healthcare-related communications may occur electronically, including through:
- Secure patient portals
- SMS or text messaging
- Telephone communications
Although reasonable safeguards are used, no electronic communication system can be guaranteed to be completely secure.
7. SECURITY OF YOUR INFORMATION
Level IX and its affiliated healthcare providers maintain administrative, technical, and physical safeguards designed to protect your Protected Health Information from unauthorized access, use, disclosure, alteration, or destruction.
Despite these safeguards, no technology can eliminate every security risk.
8. MINORS
Healthcare services are intended for adults unless otherwise permitted by applicable law or provided with appropriate parental or legal guardian consent.
9. CHANGES TO THIS NOTICE
We reserve the right to revise this Notice at any time.
Updated versions will be posted on our website with a revised Effective Date.
Changes will apply to all Protected Health Information maintained by Level IX and affiliated healthcare providers unless otherwise required by law.
10. QUESTIONS
If you have questions regarding this Notice or our privacy practices, please contact:
Privacy Officer
Level IX Performance & Longevity
Email: support@levelixlabs.com
Website:
www.levelixlabs.com
ACKNOWLEDGMENT OF RECEIPT
By creating an account, receiving healthcare services through the Level IX platform, or otherwise electronically acknowledging receipt of this Notice, you acknowledge that:
- You have received or been provided access to this Notice of Privacy Practices.
- You understand your rights regarding your Protected Health Information.
- You understand how your health information may be used and disclosed as described in this Notice.
- Your electronic acknowledgment constitutes confirmation that this Notice has been made available to you, as permitted by applicable law.
Receipt of this Notice does not require you to consent to any specific use or disclosure of your Protected Health Information beyond those permitted or required by applicable law.
