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.
This Notice describes the privacy practices of InSight Medical Group, P.A., InSight Medical Group of Delaware, P.A., InSight Medical Group of New Jersey, P.C., Inpathy Behavioral Healthcare Group, LLC, Inpathy Behavioral Healthcare Group, P.A., Inpathy Behavioral Healthcare Group, P.C., RTP (CA), P.C., and RTP (WI), S.C. (collectively, “Array Behavioral Care”, “Array”, “we” or “us”), including:
- All healthcare professionals allowed to enter or access information in your medical record
- All employees with access to your medical or billing records or health information about you.
- All physicians and other health care professionals on the Medical Staff when they provide services to you.
We understand that your health information is personal and we are committed to protecting your privacy. In addition, 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 with respect to your PHI, and to notify you in the event of a breach of your unsecured PHI. When we use or disclose your PHI, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
Permissible Uses and Disclosures Without Your Written Authorization
1. To treat you
In order to provide you with care, Array may use your PHI in the following ways:
Communication among Array providers and other medical providers for the purposes of treatment needs, treatment planning, progress reporting and review, staff supervision, incident reporting, medication administration.
Example: An Array clinician treating you asks your primary care physician about your overall health condition.
2. Manage our organization
We can use and share your PHI for our own healthcare operations purposes to run our practice, improve your care and contact you when necessary. This may also include medical record maintenance, quality review, breach notifications, and other treatment related processes.
Example: We use your PHI to manage your treatment and services and provide any necessary feedback to the clinicians.
3. Bill for your services
We can use and share your PHI to bill and get payment from health plans or other entities.
Example: We give PHI about you to your health insurance plan so it will pay for your services.
4. Communication with third-parties
We use and share your PHI with business associates who are required by an agreement with us to protect your information to the same standard or greater than we require. This may include third parties such as clinical laboratories.
Example: An Array provider sends you to get bloodwork done at a local clinic and that clinic needs to send Array your test results.
a. As required by law
b. Public health activities such as reporting child, elder and dependent adult abuse and/or neglect;
c. Law enforcement purposes such as expressed threats of violence towards an ascertainable victim or to alert law enforcement to specific criminal activity;
d. Judicial and administrative proceedings (including court orders, court-ordered warrants, subpoenas) and other administrative requests in the event your mental or emotional state is an issue in a legal proceeding;
e. Health oversight activities such as disclosing PHI to health oversight agencies, including audits and investigations necessary for oversight of the health care system and government benefit programs;
f. Worker’s compensation information as allowed by worker’s compensation laws;
g. Decedents including coroners, medical examiners and funeral directors for purposes such as identification, determining the cause of death and fulfilling duties relating to decedents;
h. Otherwise as required by law.
Patient rights and choices you have about how your information may be disclosed, received or shared
a. Confidential Communications. You have the right to request restrictions or set permissions on sharing information with your family, close friends, or others involved in your care if you have agreed for us to do so.
b. Right to Access, Inspect, and Copy. You have the right to inspect and copy your PHI. We may impose a fee for the costs of copying, mailing, labor and supplies associated with your request. Array may also deny your request in certain limited circumstances.
c. Amendment. You have a right to request Array to amend your PHI if you believe it is incorrect or incomplete and maintained by Array. However, we may deny your request by sending you a written notice of the denial.
d. Right to Receive An Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of your Protected Health Information made by us during any period of time prior to the date of your request provided such period does not exceed six years. If you request an accounting more than once during a twelve (12) month period, we may charge you a reasonable fee for the accounting statement.
e. Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of your Health Information (1) for treatment, payment and health care operations, (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care, or (3) to notify or assist in the notification of such individuals regarding your location and general condition. While we will consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction unless the request is to restrict our disclosure to a health plan for purposes of carrying out payment or health care operations, the disclosure is not required by law and the information pertains solely to a health care item or service for which you (or someone on your behalf other than the health plan) have paid us out of pocket in full. If you wish to request additional restrictions, please obtain a request form from our Privacy Office and submit the completed form to the Privacy Office. We will send you a written response.
f. Sale of Health Information and Disclosure for Marketing purposes. We will not sell your information to a third-party or provide your contact information for marketing purposes unless you give us written authorization to do so. However, we may send you information about Array’s own services.
g. Special Rules for Psychiatric and Substance Abuse Information. In general, health information relating to care for psychiatric conditions or substance abuse may not be disclosed without your written authorization or a court order or other reason permissible by law. Additionally, we will not use or disclose psychotherapy notes about you without your written authorization except for use by the Array clinician who created the notes to provide treatment to you, for our internal training programs on providing mental health services, or to defend ourselves in a legal action or other proceeding brought by you.
h. Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you agreed to receive such notice electronically.
i. Contact For Information or With a Complaint. If you feel your rights may have been violated, you can contact us or file a complaint with the U.S. Department of Health and Human Services for Civil Rights. We will not retaliate against you for filing a complaint. You may submit a statement in writing to: Array Behavioral Care c/o InSight Telepsychiatry, LLC, PO Box 364, Portsmouth, NH 03802 Attn: Privacy Officer; 1-800-442-0042.
Effective Date: This Notice is effective on April 17, 2025.
We may change this Notice when the law or our practices change. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. You will not automatically receive a new Notice. If we change this Notice, we will post the revised Notice on our websites. You may also obtain any revised Notice upon request.