We may use or share your Protected Health Information in the following ways without your written authorization as permitted by law:
For Your Treatment
We may use or share your Protected Health Information to provide treatment. For example, we may use your Protected Health Information to perform our testing services and disclose your genetic testing results to your physician.
To Collect Payment for Our Services
We may use or share your Protected Health Information to obtain payment for healthcare services. For example, we may use and share your information to send a bill to your insurance company to receive payment for the services we provided to you.
For Our Health Care Operations
We may use and share your Protected Health Information for our internal health care operations. For example, we may use your Protected Health Information to monitor the quality of our testing services, make sure our testing systems are up-to-date, and review the competence and qualifications of our laboratory professionals.
To Your Personal Representative or Legal Guardian
If you have an authorized personal representative, such as an attorney-in-fact under a health care power of attorney, then we may share your Protected Health Information to your personal representative. If you are a minor, then we may share your Protected Health Information with your parent or legal guardian.
To Persons Involved in Your Care or Payment for Your Care
We may share your Protected Health Information to persons involved in your care or payment for your care, such as a family member, relative, or close personal friend, unless you ask us not to do so.
To Contact You About Our Invitae Products and Services
We may use and share your Protected Health Information to contact you about other Invitae products and services which we believe may be of interest to you.
To Our Business Associates
We may share your Protected Health Information with our “business associates,” which are companies or individuals that provide services to us. For example, we may use a company to perform billing services for us. Our business associates are required to protect the privacy and security of your Protected Health Information.
As Required by Law
We must share your Protected Health Information when required to do so by any applicable federal, state, or local law.
For Public Health
We may share your Protected Health Information for public health and safety activities. For example, we may share your Protected Health Information when we report to public health authorities, cooperate with public health investigations, or notify a manufacturer of a product regulated by the U.S. Food and Drug Administration of a possible problem.
To Health Oversight Agencies
We may share your Protected Health Information to a healthcare oversight agency for activities that are authorized by law, such as audits, investigations, inspections and licensure activities. For example, we may share your Protected Health Information with agencies responsible for ensuring compliance with Medicare or Medicaid program rules.
We may use or disclose your Protected Health Information for research purposes, such as to better understand genetic conditions, develop new tests, add new genes to our tests, engage in research collaborations with third parties, or support third parties’ research activities. We may make these research uses and disclosures of your Protected Health Information if (1) an institutional review board or privacy board has determined the research meets certain criteria, (2) under certain circumstances if the Protected Health Information is about patients who are deceased, or (3) by using a limited data set as described further below. In addition, in preparation for research when permitted by law, we may review Protected Health Information to draft research protocols, identify or contact prospective research participants, or for similar purposes provided that legal conditions designed to protect your privacy are met. All other uses and disclosures of Protected Health Information for research will require your written authorization.
To Create De-identified Information and Limited Data Sets
We may use Protected Health Information to create de-identified health information and limited data sets. De-identified health information is health information that cannot reasonably be used to identify you. Once health information has been appropriately de-identified under HIPAA and other applicable law, we may use and share the de-identified health information for any purpose, such as to help advance medical care and the clinical practice of genetics. Limited data sets are Protected Health Information that do not include certain direct identifiers about you, such as your name or phone number. We may use and share limited data sets for purposes of research, health care operations, or public health activities as described in this Notice after entering into a HIPAA-compliant agreement with the recipient.
During Judicial and Administrative Proceedings
We may share your Protected Health Information during the course of a judicial or administrative proceeding in response to a court order, subpoena, or other lawful process.
To Law Enforcement
We may share your Protected Health Information with the police or other law enforcement officials as required by law or in compliance with a court order, warrant, subpoena, summons, or other legal process for locating a suspect, fugitive, witness, missing person, or victim of a crime.
To Respond to Threats to Health or Safety
We may share Protected Health Information to prevent or reduce the risk of a serious and imminent threat to the health or safety of an individual or the general public.
To Report Suspected Abuse, Neglect, or Violence
We may share Protected Health Information with a government agency, such as social services or a protective services agency, if we reasonably believe that an adult or child is the victim of abuse, neglect, or domestic violence.
We will ask for your written authorization before using or sharing your Protected Health Information for any purpose not described above. For example, we will request your written authorization before using or sharing Protected Health Information to send you “marketing” communications as defined by HIPAA. In addition, we will not sell your Protected Health Information to third parties unless you provide written authorization that specifically authorizes the sale of your Protected Health Information. You may revoke your authorization, in writing, at any time, except to the extent that we have already acted upon your authorization. You may submit your revocation to the Privacy Officer by using the contact information provided at the end of this Notice.
You have the following rights with respect to your Protected Health Information. To exercise any of these rights, please send our Privacy Officer a written request by using the contact information provided at the end of this Notice.
Access to Protected Health Information
You may ask us to let you inspect or copy the Protected Health Information we maintain. We may deny access to certain information for specific reasons—for example, if the access requested is reasonably likely to endanger the life or safety of you or another person. If we deny your request, you may ask us to review the denial.
Restrictions on How We Use or Share Your Protected Health Information
You may ask us to restrict how we use or share your Protected Health Information. While we will consider all requests for restrictions carefully, we typically are not required to agree to your request. However, we must agree if you ask us not to share your Protected Health Information to a health plan for certain purposes, we are not legally required to share your Protected Health Information with the health plan, and your request relates to an item for which “out-of pocket” payment has been made in full.
You may ask that we communicate with you about your Protected Health Information in a specific way (for example, home or office phone) or send you mail to a specific address, such as your work address. We will agree to reasonable requests for confidential communications.
Correct or Update Information
If you believe the Protected Health Information we maintain about you contains an error, you may request that we correct or update your information. We may deny your request under certain circumstances and will explain the denial.
Accounting of Disclosures
You may request a list, or accounting, of the instances in which we or our business associates have shared your Protected Health Information for purposes other than treatment, payment, health care operations and certain other purposes. The list will only include disclosures we or our business associates made within the six years before we received your request.
To communicate with us regarding this Notice, our privacy practices, or your privacy rights, please use the following contact information:
Attention: Privacy Officer
1400 16th Street
San Francisco, CA 94103