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HIPAA
Privacy
Policy
DentaQuest
takes
your
privacy
seriously.
We
want
to
tell
you
about
our
privacy
practices
to
protect
your
personal
health
information.
How
do
we
use
health
information?
DentaQuest
uses
your
health
information
to
pay
dentists
and
others
who
provide
you
with
dental
care
or
services,
and
to
conduct
normal
business
known
as
dental
care
operations.
Examples
of
how
we
use
your
information
include:
 |
Payment
-
We
may
pay
claims
submitted
by
dentists
who
treat
you.
We
may
also
discuss
your
treatment
plan
with
your
dentist
or
provide
prior
authorization
for
certain
services. |
|
Dental
Care
Operations
-
Health
information
is
used
for
quality
improvement
and
for
customer
service. |
We
comply
with
all
applicable
state
and
federal
laws,
including
any
laws
that
impact
our
ability
to
use
your
health
information
for
payment
and
operations.
Other
Services
We
may
also
use
information
to:
|
Inform
you
of
research
opportunities
or
benefits
for
alternative
treatments. |
|
Tell
you
about
benefits
and
services. |
|
Communicate
with
family
or
friends
involved
in
your
care. |
|
Communicate
with
other
healthcare
providers
or
business
associates
for
treatment,
payment,
or
health
care
operations.
Business
associates
must
follow
our
privacy
rules. |
|
Communicate
with
the
sponsor
of
your
health
plan. |
Information
we
share
There
are
limited
times
when
we
are
permitted
or
required
to
disclose
health
information
without
your
signed
permission.
These
situations
are
listed
below:
|
To
protect
victims
of
abuse
or
neglect
for
federal
and
state
health
oversight
activities
such
as
fraud
investigations. |
|
For
judicial
or
administrative
proceedings. |
|
If
required
by
law
or
for
law
enforcement. |
|
To
coroners,
medical
examiners
and
funeral
directors. |
|
For
specialized
government
functions
such
as
national
security
and
intelligence. |
|
To
Workers'
Compensation
if
you
are
injured
at
work. |
|
To
a
correctional
institution
if
you
are
an
inmate. |
All
other
uses
and
disclosures,
not
previously
described,
may
only
be
made
with
your
signed
authorization.
You
may
revoke
your
authorization
at
any
time.
Please
click
here
for
the
authorization
form.
Our
Responsibilities
DentaQuest
is
required
by
law
to:
|
Maintain
the
privacy
of
your
health
information. |
|
Provide
this
notice
of
our
duties
and
privacy
practices. |
|
Abide
by
the
terms
of
the
notice
currently
in
effect. |
|
We
reserve
the
right
to
change
privacy
practices,
and
make
the
new
practices
effective
for
all
the
information
we
maintain.
Revised
notices
will
be
available
to
you
on
our
Web
site
at
www.dentaquest.com
and
will
be
mailed
to
you
upon
request. |
Your
Rights
You
have
the
right
to:
|
Request
that
we
restrict
how
we
use
or
disclose
your
health
information.
We
may
not
be
able
to
comply
with
all
requests. |
|
Request
that
we
use
a
specific
telephone
number
or
address
to
communicate
with
you. |
|
Inspect
and
copy
your
health
information
(fees
will
apply).* |
|
Request
additions
or
corrections
to
your
health
information.* |
|
Receive
an
accounting
of
how
your
health
information
was
disclosed
(excludes
disclosures
for
treatment,
payment,
healthcare
operations
and
some
required
disclosures,
as
well
as
disclosures
that
you
authorize).* |
|
Obtain
a
paper
copy
of
this
notice
even
if
you
receive
it
electronically. |
Requests
followed
by
an
asterisk
(*)
must
be
in
writing.
Financial
Privacy
Policy
We
do
not
give
your
financial
information
to
any
person
or
persons
not
affiliated
with
DentaQuest.
It
is
important
to
us
that
you
understand
what
financial
information
we
gather
and
how
we
use
it
to
administer
your
benefits
and
serve
you
better.
|
Financial
Information
-
In
order
to
provide
your
dental
services,
we
may
gather
financial
information
about
you
from
you,
your
employer,
your
plan
sponsor,
or
your
dentist
with
respect
to
claims,
co-payments,
and
premium
payments.
|
|
Security
-
In
compliance
with
state
and
federal
standards,
electronic,
procedural
and
physical
safeguards
are
in
place
to
limit
the
collection
and
use
of
non-public
information
to
the
minimum
necessary
to
provide
you
with
quality
products
and
services.
Access
to
this
information
is
limited
to
a
"need
to
know"
basis
for
our
employees
to
perform
their
jobs.
This
applies
to
you
whether
you
are
a
former
or
current
member. |
To
Contact
Us
If
you
have
any
comments
or
suggestions,
please
send
an
e-mail
to
privacy@dentaquest.com
or
contact
us
via
our
toll
free
Customer
Service
telephone
number.
If
you
are
a
Classic,
Advantage
or
Select
member,
please
call
1-800-879-0288.
If
you
are
an
Access,
Choice
or
Prime
member,
please
call
1-800-334-6277.
DentaQuest
Attn:
Corporate
Compliance
Office
P.O.
Box
9708
Boston,
MA
02114
If
you
would
like
to
exercise
your
rights,
or
if
you
feel
your
privacy
rights
have
been
violated,
or
if
you
need
more
information,
contact
our
Corporate
Compliance
Office
at
1-888-788-8600,
or
by
mail
at:
DentaQuest
Attn:
Corporate
Compliance
Office
P.O.
Box
9708
Boston,
MA
02114
All
complaints
will
be
investigated
and
you
will
not
suffer
retaliation
for
filing
a
complaint.
You
may
also
file
a
complaint
regarding
health
information
with
the
Secretary
of
Health
and
Human
Services
in
Washington,
D.C.
Please
click
here
for
the
PDF
version
of
our
Privacy
Policy.
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