| The collection and use of personal
information is an important factor in our ability to provide
health benefit plan management and administration services
to clients and benefit plan members. |
| Generally, personal information that is provided to
ClaimSecure is used to determine eligibility under various
benefit plans, to adjudicate and process claims and to
meet regulatory or contractual requirements. Personal
information also includes records and data relating to
the claims experience and history of benefit plan members.
We have established the following Privacy Guidelines
to govern the actions of ClaimSecure, our employees,
and our agents and subcontractors as they relate to
the collection, use, retention and disclosure of personal
information. |
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| ClaimSecure will only collect personal information
that is required to enable us to complete the services
that we have been contracted to provide.
The length of time that we retain personal information
may vary depending on the product or service that we have been contracted
to provide. The retention of personal information for
a specific length of time may be required by law. ClaimSecure
will only retain personal information for as long as
it is needed for the identified purposes or as required
by law.
When personal information is utilized, retained or
destroyed, ClaimSecure uses appropriate safeguards to
prevent unauthorized parties from gaining access to
the information.
An individual may, upon reasonable written notice,
withdraw his/her permission to ClaimSecure to collect,
use or disclose his/her personal information. ClaimSecure
will comply with this request, subject to legal and
contractual restrictions.
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| Most personal information is supplied to us by our
client, the benefit plan sponsor, or by the benefit plan
member directly. If additional personal information is
required from any other source, we shall not request such
information without notifying the benefit plan member. |
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| The privacy and protection of personal information is
extremely important to us. This information can take a
number of forms, including paper or electronic records.
In view of the nature, types, and forms of the personal
information we receive, ClaimSecure has developed a series
of security procedures to safeguard and protect personal
information in our possession against, theft, unauthorized
disclosure, and unauthorized use or modification. We will
continue to maintain these safeguards and to upgrade our
security procedures for personal information as required. |
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| Each of ClaimSecure’s employees, agents, and subcontractors
must abide by these Privacy Guidelines in handling of
personal information of our clients and plan members.
ClaimSecure employees, agents, and subcontractors will
use personal information only in accordance with this
Policy, our contractual rights and obligations, and the
law.
We will do our best to base our decisions on accurate
and up to date personal information. However, we rely
on our clients, the benefit plan sponsor, and the benefit
plan
member to disclose all material information to us, and
to inform us of any changes.
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| Personal information will be accessible by or provided
to those external third parties that have been granted
access by the plan member, except as required by insurers
or claims processors, medical or healthcare providers,
or as required by statutory authority, legal process,
contractual obligations or widely accepted and ethical
business practice. |
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ClaimSecure will process electronic health benefit
claims that are submitted by healthcare providers on
behalf of benefit plan members and eligible dependents.
ClaimSecure will process paper health benefit claims
that are submitted by benefit plan members on approved,
properly completed claim forms. These claim forms are
available on our website,
http://www.claimsecure.com/en/forms_member.asp
By utilizing the ClaimSecure pay-direct card to authorize
an electronic claim submission by a healthcare provider,
or by submitting a paper claim to ClaimSecure, the claimant
and benefit plan member authorize ClaimSecure, healthcare
professionals (including but not limited to, pharmacists,
dentists, physicians), insurance companies, administrators
of government benefits or other benefit programs and
other service providers working with ClaimSecure to
exchange any necessary information regarding the claim,
the claimant, and the benefit plan member for purposes
of administering the health benefit plan. |
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| Upon request, ClaimSecure shall make available to an
eligible benefit plan participant the personal information maintained in our
files relative to this
individual, subject to any applicable legal or ethical
prohibition or privilege.
Personal medical information will only be made available
through an appropriate healthcare professional. |
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| Any individual has the opportunity to request that
we correct or clarify personal information that we have
retained for that individual. ClaimSecure shall correct
or amend the individual’s information to the extent
that the original information was incorrect. |
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| A privacy-related inquiry may be made by contacting
ClaimSecure’s Privacy Officer. The Privacy Officer
will investigate all inquiries and complaints. If a complaint
is justified, we will take appropriate steps to correct
the situation, including changing our policies and procedures
if necessary. |
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For more information, please contact ClaimSecure’s
Privacy Officer by email at privacy@claimsecure.com
or by mail at:
ClaimSecure Inc.
Privacy Officer
1 City Centre Drive
Mississauga, Ontario
L5B 1M2 |
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