MGH EMS, Marquette General EMS, Bell EMS, Bell Memorial
EMS, Bell Hospital, Bell Hospital Ambulance, Ishpeming
Ambulance, Marquette, MI Ishpeming, MI, Gwinn, MI,
Negaunee, MI.  In an emergency in Marquette County
Michigan (MI) you should dial 911 and ask for MediRide
EMS.  MGH EMS, Marquette General EMS, Bell EMS, Bell
Memorial EMS, Bell Hospital, Bell Hospital Ambulance,
Ishpeming Ambulance, Marquette, MI Ishpeming, MI, Gwinn,
MI, Negaunee, MI.  In an emergency in Marquette County
Michigan (MI) you should dial 911 and ask for MediRide
EMS.
Serving all of Marquette County, Michigan
HIPAA Privacy Notice
MediRide, Inc. EMS (HIPAA) Privacy Policy

Notice 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.

As an essential part of our commitment to you, MediRide, Inc. EMS maintains the privacy of certain confidential health care information about you, known as Protected Health
Information or PHI. We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices.

This notice outlines our legal duties and privacy practices respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know, among other things,
how MediRide, Inc. EMS is permitted to use and disclose PHI about you, how you can access and copy that information, how you may request amendment of that information, and how
you may request restrictions on our use and disclosure of your PHI.

MediRide, Inc. EMS is also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this information as described in this Notice
without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so. We respect your privacy,
and treat all health care information about our patients with care under strict policies of confidentiality that all of our staff are committed to following at all times.

PLEASE READ THE ATTACHED DETAILED NOTICE. IF YOU HAVE ANY QUESTIONS ABOUT IT, PLEASE CONTACT OUR PRIVACY OFFICER AT (906)226-4565.

Purpose of this Notice: MediRide, Inc. EMS is required by law to maintain the piracy of certain confidential health care information, known as Protected Health Information or PHI, and to
provide you with a notice of our legal duties and privacy practices, and lets you know how MediRide, Inc. EMS is permitted to use and disclose PHI about you.

MediRide, Inc. EMS is also required to abide by the terms of the version of this Notice currently in effect. In most situations, we may use this information as described in this Notice
without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so.

Uses and Disclosures of PHI: MediRide, Inc. EMS may use PHI for the purposes of treatment, payment, and health care operations, in most cases without your written permission.
Examples of our use of your PHI:
-For Treatment. This includes such things as verbal and written information that we obtain about you and use pertaining to your medical condition and treatment provided to you by us
and other medical personnel (including doctors and nurses who give orders to allow us to provide treatment to you). It also includes information we give to other health care personnel to
whom we transfer your care and treatment, and includes transfer of PHI via radio or telephone to the hospital or dispatch center as well as providing the hospital with a copy of the
written record we create in the course of providing you with treatment and transport.
-For Payment. This includes any activities we must undertake in order to get reimbursed for the services we provide to you, including such things as organizing your PHI and submitting
bills to insurance companies (either directly or through a third party billing company), management of billed claims for services rendered, medical necessity determinations and
reviews, utilization review, and collection of outstanding accounts.
-For Health Care Operations. This includes quality assurance activities, licensing, and training programs to ensure that our personnel meet our standards of care and follow established
policies and procedures, obtaining legal and financial services, conducting business planning, processing grievances and complaints, creating reports that do not individually identify you
for data collection purposes, fund raising, and certain marketing activities.
-fund raising. We may contact you when we are in the process of raising funds for MediRide, Inc. EMS.
-Reminders for Scheduled Transports & Information on Other Services. We may also contact you to provide you with a reminder of any scheduled appointments for non-emergency
ambulance and medical transportation, or for other information about alternative services we provide or other health-related benefits and services that may be of interest to you.

Use and Disclosure of Your PHI Without Your Authorization. MediRide, Inc. EMS is permitted to use PHI without your written authorization, or opportunity to object in certain situations,
including:
-For MediRide's use in treating you or in obtaining payment for services provided to you or in other Health care operations.
-For the treatment activities of another health care provider.
-To another health care provider or entity for the payment activities of the provider or entity that receives the information (such as your hospital or insurance company).
-For health care fraud and abuse detection or for activities related to compliance with the law.
-To a family member, other relative, or close personal friend or other individual involved in your care if we obtain your verbal agreement to do so or if we give you an opportunity to
object to such a disclosure and you do not raise an objection. We may also disclose health information to your family, relatives, or friends if we infer from the circumstances that you
would not object. For example, we may assume you agree to our disclosure of your PHI to your spouse when your spouse has called the ambulance for you. In situations where you are
not capable of objecting (because you are not present or due to your incapacity or medical emergency), we may, in our professional judgment, determine that a disclosure to your family
member, relative, or friend is in your best interest. In that example, we may inform the person who accompanied you in the ambulance that you have certain symptoms and we may give
that person an update on your vital signs and treatment that is being administered by our ambulance crew.
-To a public health authority in certain situations (such as reporting a birth, death or disease as required by law, as part of a public health investigation, to report child abuse or neglect or
domestic violence, to report adverse events such as product defects, or to notify a person about exposure to a possible communicable disease as required by law.
-For health oversight activities including audits or government investigations, inspections, disciplinary proceedings, and other administrative or judicial actions undertaken by the
government (or their contractors) by law to oversee the health care system.
-For judicial and administrative proceedings as required by a court or administrative order, or in some cases in response to a subpoena or other legal proceedings.
-For law enforcement activities in limited situations, such as when there is a warrant for the request, or when the information is needed to locate a suspect or stop a crime.
-For military, national defense and security and other special government functions.
-To avert a serious threat to the health and safety of a person or the public at large.
-For worker's compensation purposes, and in compliance with workers' compensation laws.
-To coroners, medical examiners, and funeral directors for identifying a deceased person, determining cause of death, or carrying on their duties as authorized by law.
-If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as
necessary to facilitate organ donation and transplantation.
-For research projects, but this will be subject to strict oversight and approvals and health information will be released only when there is a minimal risk to your privacy and adequate
safeguards are in place in accordance with the law.
-We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.

Any other use or disclosure of PHI, other than those listed above will only be made with you written authorization, (the authorization must specifically identify the information we seek to
use or disclose, as well as when and how we seek to use or disclose it.) You may revoke your authorization at any time, in writing, except to the extent that we have already used or
disclosed medical information in reliance on that authorization.

Patient Rights: As a patient, you have a number of rights with respect to the protection of your PHI, including:

The right to access, copy or inspect your PHI. This means you may come to our offices and inspect and copy most of the medical information about you that we maintain. We will
normally provide you with access to this information within thirty (30) days of your request. We may also charge you a reasonable fee for you to copy any medical information that you
have the right to access. In limited circumstances, we may deny you access to your medical information, and you may appeal certain types of denials. We have available forms to
request access to your PHI and we will provide a written response if we deny you access and let you know your appeal rights. If you wish to inspect and copy your medical information,
you should contact the privacy officer listed at the end of this Notice.

The right to amend you PHI. You have the right to ask us to amend written medical information that we may have about you. We will generally amend you r information within sixty (60)
days of your request and will notify you when we have amended the information. We are permitted by law to deny your request to amend your medical information only in certain
circumstances, like when we believe the information you have asked us to amend is correct. If you wish to request that we amend the medical information that we have about you, you
should contact the privacy officer listed at the end of this Notice.

The right to request an accounting of our use and disclosure of your PHI. You may request an accounting from us of certain disclosures of your medical information that we have made in
the last six years prior to the date of your request. We are not required to give you an accounting of information we have used or disclosed for purposes of treatment, payment or health
care operations, or when we share your health information with our business associates, like our billing company or a medical facility from/to which we have transported you. We are
also not required to give you an accounting of our uses of protected health information for which you have already given us written authorization. If you wish to request an accounting of
the medical information about you that we have used or disclosed that is not exempted from the accounting requirement, you should contact the Privacy Officer listed at the end of this
Notice.

The right to request that we restrict the uses and disclosures of your PHI. You have the right to request that we restrict how we use and disclose your medical information that we have
about you for treatment, payment or health care operations, or to restrict the information that is provided to family, friends, and other individuals involved in your health care. But, if you
request a restriction and the information you asked us to restrict is needed to provide you with emergency treatment, then we may use the PHI or disclose the PHI to a health care
provider to provide you with emergency treatment. MediRide, Inc. EMS is not required to agree to any restrictions you request, but any restrictions agreed to by MediRide, Inc. EMS are
binding on MediRide, Inc. EMS.

Internet, Electronic Mail, and the Right To Obtain Copy of Paper Notice on Request. If we maintain a web site, we will prominently post a copy of this Notice on our web site and make
the Notice available electronically through the web site. If you allow us, we will forward you this Notice by electronic mail instead of on paper and you may always request a paper copy
of the Notice.

Revisions to the Notice. MediRide, Inc. EMS reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all
protected health information that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our web site, if we maintain one. You can get a
copy of the latest version of this Notice by contacting the Privacy Officer identified at the end of this Notice.

Your Legal Rights and Complaints. You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your
privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or to the government. Should you have any questions, comments or
complaints you may direct all inquiries to the Privacy Officer listed at the end of this Notice. Individuals will not be retaliated against for filing a complaint.

If you have any questions or if you wish to file a complaint or exercise any rights listed in this Notice, please contact:

Privacy Officer
MediRide, Inc. EMS
PO Box 987
Marquette, MI 49855
(906)226-4565

Effective Date of the Notice: April 14, 2003
Copyright 2009-2010.  MediRide, Inc.  All rights reserved.