Notice of Privacy Practices for Protected Health Information
Customize your policy alerts
Sign up for all Alliant Health policy alerts
Know when Alliant Health releases new policies or updates existing guidance.
Monitor payer policy activity
Describes how Health One Alliance, LLC (Alliant Health) uses, discloses, and safeguards members' and dependents' protected health information (PHI), and informs individuals of their privacy rights and how to exercise them.
No material clinical or coverage changes in this revision.
Permitted Uses, Disclosures, and Member Rights
Permitted Uses and Disclosures
Permitted uses and disclosures without authorization include:
ANY of the following
- Treatment disclosures to providers for care
- Payment-related uses and disclosures (processing or paying claims, subrogation, admission review, prospective reviews, disclosure to another insurer to process or pay claims)
- Healthcare operations including quality assessment and improvement, credentialing, premium rating, medical review, compliance, case management, and contacting providers about prescription or treatment alternatives
- Public health activities (reporting of disease, injury, birth, death, or suspicion of child abuse or neglect) and other disclosures required by law
- Law enforcement, judicial, military, correctional, and government oversight activities (for example, court orders, subpoenas, reporting wounds or injuries, identifying suspects or inmates)
- Disclosures to coroners, funeral directors; for procurement, banking, or transplantation of organs, eyes, or tissue; and to avert a serious threat to health or safety
- Certain research purposes, organ donation-related disclosures, and health oversight activities
- Compliance with workers' compensation and other legal requirements
- Note: Genetic information cannot be used for underwriting purposes per the Genetic Information Non-discrimination Act (GINA).
Member Rights and Requests
Member rights and procedures (how to exercise and limitations):
ALL of the following
- Request restrictions: Members may request restrictions on how we use or disclose PHI for treatment, payment, and healthcare operations, including requests to restrict disclosures to family or others involved in care or payment.
- Operational limitation: The insurer is not required to agree to a requested restriction except when the member (or person other than the health plan) has paid in full for an item or service and requests restriction of disclosure to the health plan; if we agree, we will send written acknowledgment.
- How to request: Send a written request to Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A form can be obtained from the Privacy Officer.
ALL of the following
- Confidential communications: Members may request alternate means or locations for communications (for example, by fax); reasonable requests will be accommodated.
- How to request: Send a written request to Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A form can be obtained from the Privacy Officer.
ALL of the following
- Access to PHI: Members may inspect and/or obtain a copy of PHI in the designated record set, with certain exceptions.
- Fees: A fee will be charged for copying and postage.
- How to request: Send a written request to Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A form can be obtained from the Privacy Officer.
ALL of the following
- Amendment: Members may request an amendment to correct inaccuracies in PHI; the insurer is not required to grant the request in certain circumstances.
- How to request: Send a written request to Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A form can be obtained from the Privacy Officer.
ALL of the following
- Accounting of disclosures: Right to receive an accounting of certain disclosures made in the six years immediately preceding the request.
- Fees and timing: The first accounting in any 12-month period is free; a fee will be charged for subsequent accountings during the same 12-month period.
- How to request: Send a written request to Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A form can be obtained from the Privacy Officer.
ALL of the following
- Complaints and contact: If you believe your privacy rights have been violated, you may file a written complaint to the Privacy Officer at P.O. Box 1128, Dalton, GA 30722, or email hipaa@AlliantPlans.com, or file a complaint with the Secretary of the U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint.
- Assistance: For questions or assistance regarding this Notice or privacy rights, contact Customer Service at 1-800-811-4793 or request a copy of this Notice at hipaa@AlliantPlans.com.
Administrative Coding and Pre-enrollment Use
| No billing or code-level coverage rules provided in this document. |
Authorization and Revocation Requirements
Obtain Signed Authorization (and How to Revoke)
Except where this Notice permits, Alliant Health requires a signed authorization before using or disclosing a member’s protected health information (PHI). Specific exceptions noted in the Notice that always require a signed authorization include most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and disclosures that constitute a sale of PHI. Authorizations may be revoked in writing by sending the revocation to the Privacy Officer at the address below; a revocation form is available from the Health Information Privacy Officer.
- Signed authorizations required for most uses/disclosures except those explicitly allowed by this Notice.
- Psychotherapy notes, marketing uses, and sale of PHI require a signed authorization.
- To revoke an authorization, member must submit a written request to: Privacy Officer, Health One Alliance, LLC, P.O. Box 1128, Dalton, GA 30722. A revocation form is available from the Health Information Privacy Officer.
Key Definitions
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.