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Privacy Policy

Privacy Officer:
The designated Privacy Officer for Valued Relationships, Inc. is:

Chris Hendriksen
330 Progress Road,
West Carrollton, OH 45448.
800-860-4230

Privacy Notice:

Each member is to receive and sign a Privacy Notice. The original shall be retained in the files of VRI and the member will be provided a copy of the notice. If the member can not sign the Privacy Policy, the documented efforts to obtain the signature will be placed in the member’s file.

Use of health information:

Health care information shall be provided to organizations that are involved in the treatment and/or safety of the member. Example: Health care information is provided to the monitoring center that in turn may provide the information to Responders that are responding to an emergency situation. The outcome of an emergency situation is in turn reported the member’s Case Manager to enhance health care outcomes.

Minimal health care information shall be provided to our Business Associated in order to invoice Governmental Agencies for services rendered to members on behalf of the Agencies.

Disclosures of Health care information:

In certain situations it may be necessary to disclose health care information under State legal regulations such as Adult Protective Services. In each such disclosure, the member will be notified of said disclosure.

Permission to Disclose Health care information:

In situations not covered by the above, the member’s permission to disclose the information will be obtained in advance in writing.

Patient rights:

To access your health care information, contact the Privacy Officer. An access request form may be obtained at 330 Progress Road, West Carrollton, OH 45448.

Access shall mean:

The right to see data, the right to request amendments to the data, the right to an accounting of disclosures made by the provider, the right to place restrictions on uses and disclosures and the right for the communications to be confidential.

The Privacy Officer will respond to your request in writing within (60) sixty days. If your request is denied, you may request and independent review of your request. This independent review form may be obtained at 330 Progress Road, West Carrollton, OH 45448. It is to be submitted by the Privacy Officer. The independent review will take place and be responded to within (60) sixty days.