HIPAA Notice of Privacy Practices
Our Legal Duties
Soltanik Dental is required by law to maintain the privacy and security of your Protected Health Information, or PHI. We must provide you with this Notice of Privacy Practices, follow the duties and privacy practices described in this notice, and notify affected individuals following a breach of unsecured PHI as required by law.
We may change the terms of this notice at any time. Any revised notice will apply to all PHI we maintain. The current notice will be available at our office and on this website.
How We May Use and Disclose Your PHI
Treatment
We may use and disclose your PHI to provide, coordinate, or manage dental care and related services. For example, we may share information with another dentist, physician, specialist, laboratory, imaging provider, pharmacy, or other health care provider involved in your care.
Payment
We may use and disclose PHI to bill and collect payment from you, an insurance company, or another responsible party. This may include claims, eligibility checks, pre-authorizations, coverage appeals, and collection activities.
Health Care Operations
We may use and disclose PHI for operations such as quality assessment, staff training, credentialing, licensing, compliance, business planning, customer service, and other activities needed to operate the practice.
Appointment Reminders and Treatment Alternatives
We may contact you about appointments, follow-up care, treatment options, benefits, products, or services that may be of interest to you and relate to your dental care.
Business Associates
We may disclose PHI to vendors and service providers who perform services for us, such as billing, technology, storage, communication, analytics, payment processing, or legal services. These business associates must agree to protect PHI as required by HIPAA.
Uses and Disclosures Required or Permitted by Law
We may use or disclose PHI without your written authorization when permitted or required by law, including for public health activities, health oversight, abuse or neglect reporting, judicial and administrative proceedings, law enforcement, coroners or medical examiners, organ donation, research under specific conditions, serious threats to health or safety, workers' compensation, military or national security purposes, correctional institutions, and other legally required disclosures.
Individuals Involved in Your Care
Unless you object, we may share relevant PHI with a family member, friend, caregiver, or another person you identify who is involved in your care or payment for your care.
Authorizations
Uses and disclosures not described in this notice will be made only with your written authorization when required by law. This includes most uses and disclosures of psychotherapy notes, most uses and disclosures for marketing, and the sale of PHI. You may revoke an authorization in writing, except to the extent we have already relied on it.
Your HIPAA Rights
- Right to inspect and copy: You may request access to inspect or receive a copy of your dental and billing records, subject to limited exceptions.
- Right to amend: You may ask us to correct PHI you believe is inaccurate or incomplete. We may deny the request in certain circumstances and will explain why in writing.
- Right to an accounting of disclosures: You may request a list of certain disclosures of your PHI made during the six years before your request.
- Right to request restrictions: You may ask us to restrict certain uses or disclosures. We are not required to agree except for certain disclosures to a health plan when you paid in full out of pocket and the disclosure is for payment or health care operations.
- Right to confidential communications: You may ask us to contact you in a specific way or at a specific location. We will accommodate reasonable requests.
- Right to a paper copy: You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Right to choose someone to act for you: If someone has medical power of attorney or is your legal guardian, that person may exercise your rights and make choices about your PHI.
How to Exercise Your Rights
To exercise any of your rights, please contact Soltanik Dental using the contact information below. We may ask you to submit certain requests in writing and to verify your identity before we act on the request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Soltanik Dental or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Contact Information
Soltanik Dental
2999 NE 191st Suite 350
Aventura, FL 33180
Phone: (305) 466-2334
Email: soltanikdental@gmail.com