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Wood County Employee Health Benefits Plaintive OF PRIVACY PRACTICES Effective 4/14/04 Revised 9/23/13 The Wood County Employee Health Benefits Plan (Plan) has adopted the following practices and procedures
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How to fill out notice of privacy practices

01
Obtain a copy of the notice of privacy practices from your healthcare provider or website.
02
Read through the notice carefully to understand how your personal health information will be used and disclosed.
03
Fill out any required fields with your personal information, such as name, address, and date.
04
Sign and date the notice to acknowledge that you have received and understood it.
05
Return the completed notice to your healthcare provider for their records.

Who needs notice of privacy practices?

01
Patients receiving medical treatment from healthcare providers
02
Healthcare providers who collect and use personal health information
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A notice of privacy practices is a document that outlines how a healthcare provider or organization will use and protect an individual's personal health information. It informs patients of their rights regarding their information and how it may be shared.
Health care providers, health plans, and clearinghouses that handle Protected Health Information (PHI) are required to file a notice of privacy practices.
To fill out a notice of privacy practices, providers must include information such as their legal obligations, the types of protected health information collected, how that information may be used or disclosed, patients' rights, and how patients can file complaints about privacy violations.
The purpose of a notice of privacy practices is to inform patients about their privacy rights, how their health information will be handled, and to ensure compliance with privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA).
The notice must include information such as the types of PHI collected, how it may be used or disclosed, patients' rights regarding their information, the organization's legal duties, and contact information for further inquiries.
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