Privacy Policy - Personal Health Information

The main reasons for which we may use and may disclose your Personal Health Information are to evaluate and process any requests for coverage and claims for benefits you may make or in connection with other health-related benefits or services offered by your Health Plan. Following is a description of these and other uses and disclosures, together with some examples.

  • Treatment: We will use and release your PHI to your provider (doctors, dentists, pharmacies, hospitals, and other caregivers) who are treating you. We will also release your PHI when we are helping you get other services you or your provider have requested. This includes services you may get from another provider to use your PHI for treatment. We also may release your PHI about healthcare claims and encounters, medical history, eligibility, payment information, and other information for treatment purposes. For example, we may talk to your doctor about a disease management or wellness program to improve your health.
  • For Payment: We may use and disclose Personal Health Information to pay for benefits under your Health Insurance coverage. For example, we may review Personal Health Information contained on claims to reimburse providers for services rendered. We also may disclose Personal Health Information to other insurance carriers to coordinate benefits with respect to a particular claim. Additionally, we may disclose Personal Health Information to a health plan or an administrator of an employee welfare benefit plan for various payment-related functions, such as eligibility determination, audit and review or to assist you with your inquiries or disputes.
  • For Healthcare Operations: We may use and disclose Personal Health Information for our Health Plan administrative operations. These purposes include evaluating a request for Health Insurance products or services, administering those products or services, and processing transactions requested by you. We also may disclose Personal Health Information to Business Associates if they need to receive Personal Health Information to provide a service to the health plan and will agree to abide by specific HIPAA rules relating to the protection of Personal Health Information. Examples of business associates are: pharmacy benefit managers, insurance broker or consultant, data processing companies, or companies that provide general administrative services. Personal Health Information may be disclosed to reinsurers for underwriting, audit or claim review reasons, or potential sale, transfer, merger or consolidation of your employer's health plan.
  • Where Required by Law or for Public Health Activities: We disclose Personal Health Information when required by federal, state or local law. Examples of such mandatory disclosures include notifying state or local health authorities regarding particular communicable diseases, or providing Personal Health Information to a governmental agency or regulator with healthcare oversight responsibilities. We also may release Personal Health Information to a coroner or medical examiner to assist in identifying a deceased individual or to determine the cause of death.
  • To Avert a Serious Threat to Health or Safety: We may disclose Personal Health Information to avert a serious threat to someone's health or safety. We also may disclose Personal Health Information to federal, state or local agencies engaged in disaster relief as well as to private disaster relief or disaster assistance agencies to allow such entities to carry out their responsibilities in specific disaster situations.
  • For Health-related Benefits or Services: We may use Personal Health Information to provide you with information about benefits available to you under your current coverage or policy and, in limited situations, about health-related products or services that may be of interest to you.
  • For Law Enforcement or Specific Government Functions: We may disclose Personal Health Information in response to a request by a law enforcement official made through a court order, subpoena, warrant, summons or similar process. We may disclose Personal Health Information about you to federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
  • When Requested as Part of a Regulatory or Legal Proceeding: If you or your estate are involved in a lawsuit or a dispute, we may disclose Personal Health Information about you in response to a court or administrative order. We also may disclose Personal Health Information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the Personal Health Information requested. We may disclose Personal Health Information to any governmental agency or regulator with whom you have filed a complaint or as part of a regulatory agency examination.
  • Other Uses of Personal Health Information: Other uses and disclosures of Personal Health Information not covered by this notice and permitted by the laws that apply to us will be made only with your written authorization or that of your legal representative. If we are authorized to use or disclose Personal Health Information about you, you or your legally authorized representative may revoke that authorization, in writing, at any time, except to the extent that we have taken action relying on the authorization or if the authorization was obtained as a condition of obtaining your Health Insurance coverage. You should understand that we will not be able to take back any disclosures we have already made with authorization.

Your Rights Regarding Personal Health Information We Maintain About You

The following are your various rights as a consumer under HIPAA concerning your Personal Health Information. Should you have questions about a specific right, please see your plan administrator, or write to us at:

Toepperwein Family Practice
c/o Privacy Policies
12414 Toepperwein Rd. San Antonio, Texas 78233

  • Right to Inspect and Copy Your Personal Health Information: In most cases, you have the right to inspect and obtain a copy of the Personal Health Information that we maintain about you. To inspect and copy Personal Health Information, you must submit your request in writing to the applicable administrator listed above. To receive a copy of your Personal Health Information, you may be charged a fee for the costs of copying, mailing or other supplies associated with your request. However, certain types of Personal Health Information will not be made available for inspection and copying. This includes psychotherapy notes; and also includes Personal Health Information collected by us in connection with, or in reasonable anticipation of any claim or legal proceeding. In very limited circumstances, we may deny your request to inspect and obtain a copy of your Personal Health Information. If we do, you may request that the denial be reviewed. The review will be conducted by an individual chosen by us who was not involved in the original decision to deny your request. We will comply with the outcome of that review.
  • Right to Amend Your Personal Health Information: If you believe that your Personal Health Information is incorrect or that an important part of it is missing, you have the right to ask us to amend your Personal Health Information while it is kept by or for us. You must provide your request and your reason for the request in writing, and submit it to us or your plan administrator. We may deny your request if it is not in writing or does not include a reason that supports the request. In addition, we may deny your request if you ask us to amend Personal Health Information that:
  • Is inaccurate and incomplete;
  • Was not created by us, unless the person or entity that created the Personal Health Information is no longer available to make the amendment;
  • Is not part of the Personal Health Information kept by or for us; or
  • Is not part of the Personal Health Information which you would be permitted to inspect and copy.
Right to a List of Disclosures: You have the right to request a list of the disclosures we have made of Personal Health Information about you. This list will not include disclosures made for treatment, payment, healthcare operations, for purposes of national security, made to law enforcement or to corrections personnel or made pursuant to your authorization or made directly to you. To request this list, you must submit your request in writing to us or your plan administrator. Your request must state the time period for which you want to receive a list of disclosures. The time period may not be longer than six years and may not include dates before February 26, 2003. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be free. We may charge you for responding to any additional requests. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
  • Right to Request Restrictions: You have the right to request a restriction or limitation on Personal Health Information we use or disclose about you for treatment, payment or healthcare operations, or that we disclose to someone who may be involved in your care or payment for your care, like a family member or friend. While we will consider your request, we are not required to agree to it. If we do agree to it, we will comply with your request. To request a restriction, you must make your request in writing to us or your planĀ  administrator. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply (for example, disclosures to your spouse or parent). We will not agree to restrictions on Personal Health Information uses or disclosures that are legally required, or which are necessary to administer our business.
  • Right to Request Confidential Communications: You have the right to request that we communicate with you about Personal Health Information in a certain way or at a certain location if you tell us that communication in another manner may endanger you. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to us or your plan administrator and specify how or where you wish to be contacted. We will accommodate all reasonable requests.
  • Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, please contact:

    Toepperwein Family Practice
    12414 Toepperwein Rd. San Antonio, Texas 78233

    All complaints must be submitted in writing. You will not be penalized for filing a complaint. If you have questions as to how to file a complaint please contact us at 210-654-7200 or at privacy@toepperweinfamilypractice.com.


Additional Information

Changes to This Notice: We reserve the right to change the terms of this notice at any time. We reserve the right to make the revised or changed notice effective for Personal Health Information we already have about you as well as any Personal Health Information we receive in the future. The effective date of this notice and any revised or changed notice may be found at the bottom of the notice. You will receive a copy of any revised notice from us by mail or by email, but only if email delivery is offered by us and you agree to such delivery.

Further Information: You may have additional rights under other applicable laws. For additional information regarding our HIPAA Medical Information Privacy Policy or our general privacy policies, please contact us atĀ  privacy@toepperweinfamilypractice.com - 210-654-7200 or write to us at Toepperwein Family Practice 12414 Toepperwein Rd. San Antonio, Texas 78233

Effective Date: April 14th, 2014


E-mail: privacy@toepperweinfamilypractice.com


11515 Toepperwein Rd. Ste #202 Live Oak, Texas 78233
Live Oak Allergy & Asthma Clinic P.A. | Privacy Policy


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16675 Huebner Rd.. Bldg. 2 Ste #201 San Antonio, Texas 78248
Live Oak Allergy & Asthma Clinic P.A. | Privacy Policy
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