Notice of Privacy Practices

This Notice applies to the SOMOS-affiliated medical practices that treat you (each a "covered entity" under HIPAA), and to SOMOS Health, Inc., which operates the technology platform through which your care is delivered and, in that role, acts as a business associate to your treating practice. Together they are referred to as "we," "us," or "our" in this Notice.

Our Commitment

We are required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this Notice of our legal duties and privacy practices, and to abide by the terms of the Notice currently in effect.

How We May Use and Disclose Your Health Information

Treatment. We may use and disclose your PHI to provide, coordinate, or manage your care, including sharing information among your Provider, referring clinicians, and other members of your care team, and to facilitate at-home testing, PAP therapy, and behavioral sleep treatment.

Payment. We may use and disclose your PHI to bill and collect payment from you, your insurer, or a third party responsible for payment, including sharing information with your health plan to obtain prior authorization or determine coverage.

Healthcare Operations. We may use and disclose your PHI for internal operations, including quality assessment, provider performance review, training, and business planning.

Appointment Reminders and Communications. We may contact you by phone, text, email, or mail to remind you of appointments or to provide information about treatment alternatives or other health-related services, unless you ask us not to.

Individuals Involved in Your Care. Unless you object, we may share relevant information with a family member, friend, or other person you identify as involved in your care or payment for care, or in a medical emergency, as necessary and consistent with our professional judgment.

As Required by Law. We will disclose PHI when required by federal, state, or local law.

Public Health and Safety. We may disclose PHI for public health activities, to report abuse or neglect, to avert a serious threat to health or safety, or to a health oversight agency for activities authorized by law, such as audits and investigations.

Legal Proceedings and Law Enforcement. We may disclose PHI in response to a court order, subpoena, or other lawful process, and, within limits set by law, for law enforcement purposes.

Research. We may disclose PHI for research purposes where permitted by law, generally only with appropriate privacy safeguards or your written authorization.

Other Uses. Any use or disclosure not described above, including most uses of psychotherapy notes and any sale of PHI, will be made only with your written authorization. You may revoke that authorization at any time in writing, except to the extent we have already relied on it.

Your Rights

Right to Access. You may request to inspect or receive a copy of your PHI. We may charge a reasonable, cost-based fee for copies.

Right to Request Amendment. You may ask us to amend your PHI if you believe it is incorrect or incomplete. We may decline certain requests, consistent with HIPAA.

Right to an Accounting of Disclosures. You may request a list of certain disclosures of your PHI made in the six years before your request, excluding disclosures for treatment, payment, healthcare operations, and certain other categories.

Right to Request Restrictions. You may ask us to restrict how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree, except where you request that we not disclose information to your health plan regarding a service you paid for in full out of pocket, which we must honor.

Right to Request Confidential Communications. You may ask us to communicate with you by alternative means or at an alternative location, and 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 Notification of a Breach. You have the right to be notified if there is a breach of your unsecured PHI.

To exercise any of these rights, contact us using the information below. We may ask you to submit your request in writing.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as PHI we receive in the future. The current version will be available on our website and, upon request, in writing.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, telephone 1-877-696-6775, or at www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

Contact Us

Privacy Official SOMOS Health, Inc. [ADDRESS], Richmond, Virginia [ZIP] [EMAIL] · [PHONE]