Effective 1/1/2026
CENTIVO NOTICE OF PRIVACY PRACTICES
PLEASE REVIEW THIS NOTICE CAREFULLY. IT DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
This Notice of Privacy Practices (“Notice”) describes how Centivo Corporation and the members of its Affiliated Covered Entities (collectively “Centivo,” “we,” or “our”) may use and disclose your protected health information to carry out treatment, payment, or business operations and for other purposes that are permitted or required by law. An Affiliated Covered Entity is a group of health care providers under common ownership or control that designates itself as a single entity for purposes of compliance with the Health Insurance Portability and Accountability Act (“HIPAA”). The members of Centivo’s Affiliated Covered Entities will share protected health information with each other for the treatment, payment, and health care operations of the Centivo Affiliated Covered Entities and as permitted by HIPAA and this Notice.
“Protected health information” or “PHI” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical health or condition, treatment, or payment for health care services. This Notice also describes your rights to access and control your protected health information.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Your protected health information may be used and disclosed by our health care providers, our staff, and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to support our business operations, to obtain payment for your care, and any other use authorized or required by law.
TREATMENT
In compliance with HIPAA, we will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with third-party providers. For example, your protected health information may be provided to a health care provider to whom you have been referred to ensure the necessary information is accessible to diagnose or treat you.
PAYMENT
Your protected health information may be used to bill or obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for your services, such as making a determination of eligibility or coverage for insurance benefits and reviewing services provided to you for medical necessity.
HEALTH CARE OPERATIONS
We may use or disclose, as needed, your protected health information in order to support the business activities of this office. These activities include, but are not limited to, improving quality of care, providing information about treatment alternatives or other health-related benefits and services, developing or maintaining and supporting computer systems, legal services, and conducting audits and compliance programs, including fraud, waste, and abuse investigations.
USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION
We may use or disclose your protected health information in the following situations without your authorization: as required by law; for public health and safety purposes; for health care oversight purposes; for abuse or neglect reporting; pursuant to Food and Drug Administration requirements; in connection with legal proceedings; for law enforcement purposes; to coroners, funeral directors, and organ donation agencies; for certain research purposes; for allegations of certain criminal activities; for certain military activity and national security purposes; for workers’ compensation reporting; relating to certain inmate reporting; and other required uses and disclosures. Under the law, we must make certain disclosures to you upon your request and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of HIPAA. State laws may further restrict these disclosures.
USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION
Other permitted and required uses and disclosures will be made only with your consent, authorization, or opportunity to object unless permitted or required by law. Without your authorization, we are expressly prohibited from using or disclosing your protected health information for marketing purposes. We may not sell your protected health information without your authorization. Your protected health information will not be used for fundraising, and we will not share regulated health information (including location, payment data, or health inferences) without your authorization, unless it is necessary for plan administration. Your consent is required for us to disclose your health information related to substance use, genetic testing, and HIV/AIDS. We will not use or disclose your psychotherapy notes or mental health information without your authorization, except as permitted by law. If you provide us with an authorization for certain uses and disclosures of your information, you may revoke such authorization at any time, in writing, except to the extent that we have taken an action in reliance on the use or disclosure indicated in the authorization.
YOUR RIGHTS TO YOUR PROTECTED HEALTH INFORMATION
You have the right to request a restriction on the use or disclosure of your protected health information. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request, except if the requested restriction is on a disclosure to a health plan for a payment or health care operations purpose regarding a service that has been paid in full out-of-pocket.
You have the right to request to receive confidential communications from us by alternative means or at an alternate location. We will comply with all reasonable requests submitted in writing, which specify how or where you wish to receive these communications.
You have the right to request to access, inspect, and copy your protected health information. You also have the right to give an individual medical power of attorney or otherwise act as your legal guardian, and we will take steps to confirm the individual has the authority to act on your behalf before we provide your health information.
You have the right to request a correction to your protected health information. If we deny your request for correction, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to our statement, and we will provide you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures of your protected health information that we have made, paper or electronic, except for certain disclosures which were pursuant to an authorization for purposes of treatment, payment, or healthcare operations (unless the information is maintained in an electronic health record), or for certain other purposes.
You have the right to obtain a paper copy of this Notice upon request.
You may also have the right to request deletion of certain regulated health information that is not required to be retained by law or for essential operations.
Please see our Privacy Notice that explains how we collect, use, share, and protect your data that is not considered protected health information under HIPAA.
BREACH OF HEALTH INFORMATION
We will notify you if a breach of your unsecured protected health information is discovered. Notification will be made to you in accordance with HIPAA and state data breach notification laws.
REVISIONS TO THIS NOTICE
We reserve the right to revise this Notice and to make the revised Notice effective for protected health information we already have about you as well as any information we receive in the future. Any significant changes to this Notice will be posted on our website.
CONTACT US
For questions about this Notice or how we handle your protected health information, please contact our Privacy Officer at privacy@centivo.com. You may also submit a formal complaint to the Department of Health and Human Services, Office for Civil Rights by calling 877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.