Privacy Policy for ClaimsMed.com

Effective Date: January 1st, 2025

ClaimsMed.com (“ClaimsMed,” “we,” “us,” or “our”) is dedicated to safeguarding the privacy of all individuals, including patients, healthcare providers, clients, and employees. This Privacy Policy explains how we collect, use, share, and protect information in connection with our medical billing, provider credentialing, and related services.

  1. Information We Collect
    We collect various types of information necessary for our operations, including but not limited to:

       Protected Health Information (PHI):

    • Patient Information:
      • Names, addresses, phone numbers, email addresses.
      • Dates of birth, Social Security numbers, and other unique identifiers.
      • Medical history, diagnoses, treatments, and insurance details.

        Provider Information:

      • Names, contact information, and National Provider Identifier (NPI) numbers.
      • Licenses, certifications, and educational qualifications.
      • Work history and malpractice insurance details.
      • Ownership and financial disclosures related to practice operations.

        Financial Information:

      • Bank account details, tax identification numbers, and billing information.
      • Payment history and reimbursement details.

        Employment and Business Information:

      • Employee data such as contact details, employment history and gaps.
      • Business associate data, including contact details, agreements, and services provided.

        Website and Usage Data:

      • IP addresses, browser types, pages visited, referring websites.
      • Cookies and tracking data for analytics and service improvement.

        Miscellaneous Information:

      • Ownership documentation related to healthcare practices.
      • Supporting documentation for credentialing, such as DEA registrations and state licenses.
      • Any information required for medical billing, appeals, or compliance purposes.
  1. How We Use Information

           We use the collected information for:

      • Medical Billing: To process claims, handle reimbursements, and manage insurance communications.
      • Provider Credentialing: To verify qualifications, licenses, and compliance with payer requirements.
      • Regulatory Compliance: To meet legal and contractual obligations, including HIPAA compliance.
      • Operational Needs: To improve services, manage client communications, and conduct internal audits.
      • Financial Transactions: To facilitate payments, invoicing, and financial reporting.
  1. Sharing of Information
    We may share collected information under the following circumstances:
      • Service Providers: With third-party vendors for IT support, data storage, and payment processing, under strict confidentiality agreements.
      • Insurance Companies: To process claims, appeals, and credentialing applications.
      • Regulatory Authorities: When required by law, audits, or government requests.
      • Business Associates: With partners who assist in our operations, such as legal counsel or billing software providers.
  1. HIPAA Compliance
    We strictly adhere to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), implementing administrative, physical, and technical safeguards to protect PHI.
  1. Security Measures
    We employ robust security protocols to protect all data, including:
      • Encryption of sensitive information.
      • Secure data storage with limited access.
      • Regular employee training on data privacy and security.
      • Continuous monitoring and updates to our security systems.
  1. Mobile Information
      • No mobile information, including text messaging originator opt-in data and consent, will be shared with third parties for marketing or promotional purposes.
      • Mobile data is strictly used for operational purposes and remains confidential.
  1. Your Rights
    Individuals have the right to:
      • Access, correct, or delete their personal information.
      • Request details about how their data is used.

            For inquiries or requests, contact us at [email protected].

  1. Changes to This Privacy Policy
    We reserve the right to update this policy as needed. Changes will be posted on this page with a new effective date.
  1. Contact Us
    If you have questions or concerns about this Privacy Policy, please contact us at:

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