Collection and use of your personal information. The type of personal information we collect and use depends upon your relationship with us (and our members). If you are providing services to our members as a health practitioner or other healthcare provider, we may collect and use your personal information to: • register you as a provider (including for provider arrangements such as medical gap or Member Plus arrangements); • verify your identity and status as a health practitioner or other provider which may include government-issued identifiers including Medicare provider and Australian Health Practitioner • manage our ongoing relationship with you (including if applicable to administer medical gap, Member Plus or other provider arrangements); • provide our members, general practitioners and the general public with a HBF provider search service or a service which advertises or indicates whether you, (if you are a HBF registered medical gap provider, an ancillary provider, a HBF Member Plus Dental Provider, a HBF Optical Member Plus Provider or have a similar type of arrangement with HBF) participate in a particular arrangement with us, either on our website or on third party websites; • conduct data analysis based on treatments performed and the associated fees and costs, and use results from our analysis of this data to measure trends, such as out of pocket (gap) expenses; • make payments to your nominated bank account and send you remittance advices; • permit you to access information such as remittance advices, provider registration information and communications via applications such as the Medipass Provider Portal app (Medipass App), if available; • obtain and record feedback from our members on the service you provide and deal with complaints; • inform our members and prospective members that you are an HBF registered provider and whether or not you are a participant in any of our provider arrangements, including via online searches, phone, mail or email; • understand and with your consent inform our members and the general public of your fees and costs including out of pocket costs for specific types of treatments; • provide you with information about our processes, benefits and Fund Rules, including changes to them, subject to relevant laws; • provide you with material, such as articles and information about provider arrangements that may be of interest to you, subject to relevant laws; • administer, process and audit private health insurance claims; • undertake actions to prevent, detect and follow up fraudulent or invalid claims or misrepresentations; • conduct investigations and make determinations under our Fund Rules; • ensure our records are consistent and accurate; and • meet legislative requirements relating to private health insurers. We may collect your personal information directly from you (when you register with us) or from third parties, such as Medicare, Australian Regional Health Group (ARHG), HICAPS and similar service providers, your practice representative or HBF members who have received services from you. lf you are a medical practitioner registered with Australian Health Service Alliance Ltd (AHSA) we may collect your personal information from AHSA as we are one of their participating health funds and they administer our arrangements with hospitals and medical providers outside WA. If you do not wish to provide the personal information HBF (or AHSA) requires for registration as a provider (including for medical gap or Member Plus arrangements) HBF (or AHSA) will not be able to register you as an HBF provider (or any applicable provider arrangement). If you are a general practitioner, we may collect your details from HBF members that participate in member support programs.
Appears in 3 contracts
Sources: Medical Gap Agreement, Medical Gap Agreement, Medical Gap Agreement