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Related post: Pharmacies wishing to appeal the results of a finalized audit may do so in writing to the
PerformRx Pharmacy Audit Services
200 Stevens Drive, 1 Floor
A pharmacy technician will contact the pharmacy once all documentation from the audit
company is received to initiate the audit dispute process.
To ensure an impartial review, PerformRx, not the audit company, independently
reviews finalized pharmacy audit documentation. PerformRx will also re-evaluates post-
audit documents submitted by provider but rejected by the audit company. PerformRx
will request copies of audit documents from both the audit company and the pharmacy.
Pharmacies are notified in writing of the outcome of their appeal.
MEMBER RIGHTS AND RESPONSIBILITIES
Policy: Members have the right to be treated in a way that respects their dignity and
their need for privacy when getting health care. Health care providers participating in
PHP must be committed to treating members in a manner that:
Respects their rights to receive information about the Atorvastatin Rosuvastatin organization, its services, its
Treats them with respect and recognition of their dignity and right to privacy;
Allows them to participate with practitioners in decision-making regarding their health
Provides candid discussion of appropriate or medically necessary treatment options
for their conditions, regardless of cost or benefit coverage;
Allows them to voice complaints or appeals about the organization or the care
Emphasizes their responsibility to provide, to the extent possible, information that is
needed in order to care for them;
Follows the plans and instructions for their care that they have agreed upon with
1. Members have the Purchase Rosuvastatin Online right to have their pharmaceutical care information and records
2. Members have the right to allow or refuse their personal information to be sent to
another party, except when the release of information is required by law and/or in
internal setting between PerformRx and PHP when treatment, payment and/or
healthcare operations necessitate its disclosure.
3. Members have the right Rosuvastatin 10 to receive pharmaceutical benefits in a setting that respects
their dignity and privacy.
4. Members have the right to make a complaint about PerformRx or the pharmacy
5. Members have the right to receive pharmaceutical care without regard to race, color,
religion, sex, age or national origin.
6. Members have the right to choose or change pharmacy providers available within
their health care plan�s chosen network; however, members who are in a lock-in
program may be restricted to a specific pharmacy at PHP�s direction.
7. Members have the right to access pharmaceutical care without Purchase Rosuvastatin communication or
8. Members have the right to receive information about PHP, its services, its
practitioners and providers, and members� rights and responsibilities.
9. Members Order Rosuvastatin Online have a right to be treated with respect and recognition of their dignity and
10. Members have a right to participate with practitioners in making decisions about their
11. Members have a right to a candid discussion of appropriate or medically necessary
treatment options for their conditions, regardless of cost or benefit coverage.
12. Members have a right to voice complaints or appeals about PHP or the care it
13. Members have a right to make recommendations regarding PHP�s members� rights
1. Members have the responsibility to treat those providing pharmacy services with the
same respect and kindness they expect for themselves.
2. Members have the responsibility to utilize a pharmacy provider available within
3. Members have the responsibility to notify their pharmacist of all insurance coverages
for which they are eligible, preferably by presenting the appropriate benefit cards at
the time of service.
4. Members have the responsibility to ask their pharmacist questions about the
5. Members have the responsibility to follow the steps of the Complaint and Grievance
process if they are not happy with the pharmacy service they Buy Rosuvastatin get through a
6. Members have the responsibility to tell PerformRx if a member or provider misuses
PHP�s pharmaceutical care benefits or ID cards.
7. Members have a responsibility to supply information (to the extent possible) that
PHP, its practitioners and providers need in order to provide care.
8. Members have a responsibility to follow plans and instructions for care that they
have agreed on with their practitioners.
9. Members have a responsibility to understand their health problems and participate in
developing mutually agreed upon treatment goals to the degree possible.
Protected Health Information (PHI) Disclosure
In accordance with its Business Associate Agreement with its clients, Generic Rosuvastatin PerformRx
follows the following procedure regarding the disclosure of PHI.
PerformRx shall use and disclose PHI for the purpose of providing pharmacy benefit
management services. PerformRx shall ensure that its directors, officers, employees,
contractors and agents shall:
(1) Not use or further disclose PHI other than as permitted or required by law.
(2) Implement all appropriate and reasonable administrative, physical and technical
safeguards to maintain What Is Rosuvastatin the security, integrity and confidentiality of PHI and
comply with the security standards by the effective date of the final HIPAA
(3) Report promptly to PHP any use or disclosure of PHI not provided for by this
Agreement of which PerformRx becomes aware.
(4) Require subcontractors or agents to whom Cheap Rosuvastatin PerformRx provides PHI to agree to
the same restrictions and conditions that apply to PerformRx pursuant to this
(5) Transfer to PHP, upon request, information necessary to allow PHP to timely
respond to a request by an individual for an accounting of the disclosures of the
individual�s PHI or for a copy of the individual�s PHI.
(6) Make available PHI for amendment or correction, and incorporate any
amendments or corrections to PHI when notified by PHP that Rosuvastatin Atorvastatin information is
(7) Maintain record keeping of all disclosures of PHI, other than for the purpose set
forth in this Agreement, including the date, name of recipient, description of PHI
disclosed and purpose of disclosure.
(8) Make PerformRx�s internal practices, books, and records relating to the use and
disclosure of PHI available to the Department of Health and Human Services for
purposes of determining PHP�s compliance with Rosuvastatin Calcium the HIPAA Buy Rosuvastatin Online regulations.
(9) At termination of the Agreement, return or destroy all PHI received from or on
behalf of PHP that PerformRx still maintains in any form and retain no copies of
such PHI; provided that if such return or destruction is not feasible, extend the
protections of this Agreement to the PHI and limit further uses and disclosures to
those purposes that make the return or destruction of the information infeasible.
(10) PerformRx may use or disclose the PHI for the proper management and
administration of PerformRx or to carry out its legal responsibilities, if (A) the
disclosure is required by law; or (B) (1) PerformRx obtains reasonable assurance
from the third party that the PHI will be held confidentially and used or further
disclosed only as required by law or for the purpose for which it was disclosed to
the third party; and (2) the third party notifies PerformRx of any instances of
which it is aware in which the confidentiality of the information has been
(11) PerformRx may de-identify PHI, if the de-identification conforms to Order Rosuvastatin the
requirements of HIPAA. De-identified Rosuvastatin Online information is not PHI and is not subject to
the terms of this Agreement.
(12) PerformRx uses and discloses PHP member�s PHI for purposes of treatment,
payment and health care operations.
(13) PerformRx verifies the identity and authority of an individual or agency seeking
access to or a disclosure of protected health information.
(14) PerformRx does not use or disclose a plan member�s protected health
information without the member�s written valid authorization, except for purposes
of treatment, payment and health care operations or as otherwise required or
(15) Unless otherwise directed by PHP, PerformRx will restrict uses and disclosures
of PHI or confidential communications only at the direction of PHP, in the manner
(16) Unless otherwise directed by PHP, PerformRx will transfer to PHP, upon
request, information necessary to allow PHPto timely respond to a request by an
individual Buy Cheap Rosuvastatin for an accounting of the disclosures of the individual's PHI.
(17) When requested by PHP, PerformRx promptly responds to plan members�
complaints with respect to implementation of, or compliance with, the HIPAA
privacy regulations in administration of the pharmacy benefit for the plan.
PerformRx is in Rosuvastatin 10 Mg compliance with the HIPAA regulations �Administrative Requirements
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