Table of Contents

Scope and Purpose


This privacy policy (“Policy”) describes how Appy Health, Inc. and our parent companies, subsidiaries, and affiliated companies (“Appy Health,” “we,” “us,” “our”, and/or “Appy”) may collect, use, and share information about you that we obtain through www.AppyHealth.com and other websites and applications that link to this Policy (collectively, the “Site”). This Policy also applies to any information we collect offline, such as when you visit our offices, a provider’s office, attend a Appy Health or provider sponsored events, or interact with our representatives at other events, or in other contexts in which we make this Policy available to you.

This Policy does not apply to Appy Health product offerings that have their own privacy policies, or to websites of third parties to which we provide links. We do not control and are not responsible for the privacy practices of the websites of other entities and we urge you to review any applicable third-party privacy policies for yourself.

Our processing of data on behalf of the Appy Health “Members” aka (Employees, Patients, and Healthcare Consumers) choice technology solution and is governed by the 21st Cures Act and agreements we enter in with our affiliated practices, clinics, health systems, and company “Clients”, which may include Business Associate Agreements as applicable and required under the Health Insurance Portability and Accountability Act (HIPAA). Your healthcare provider may also have its own privacy practices and/or policies that govern its collection and use of your data. We are not responsible for how your healthcare provider treats your information, and we recommend you review their privacy policies.

What Does Appy Health Do?

Appy Health is the 21st Century Cures Act Wayfarer choice technology solution for healthcare consumers, patients, and employees aka (Wayfarers). As the Wayfarer’s choice platform, it provides a secure, single- source, single sign-on solution to store, manage, and share thousands of data elements and a high-touch engagement experience across the Wayfarers behavioral, clinical, and wellness care continuum. 

The Appy Health Wayfarer Choice technology encompasses the exact architecture required to meet the 21st Cures Act legislation, where the Appy Health Wayfarer solely owns, manages, and can securely share their Protected Health Information (PHI), Health Benefit Plan Coverages, and personal demographic information with the Wayfarers approved care providers.

Wayfarers can easily review complex health benefits by plan coverages, establish care coordination and navigation to healthcare professionals that accept the Wayfarer’s health plan coverages, and deliver a high-touch experience where the Wayfarer is an active participant in their continuity of care.

Member Choice Regulatory Compliance


The Appy Health Wayfarer choice technology is the exact architecture that exceeds the 21st Century Cures Act legislation.  The information that Appy Health collects on behalf of the Wayfarer, is solely owned and controlled by the registered Appy Health Wayfarer.   All Information collected is directly from the Wayfarers request and information received The Appy Health Wayfarer choice technology is the exact architecture that exceeds the 21st Century Cures Act legislation.  The information that Appy Health collects on behalf of the Wayfarer, is solely owned and controlled by the registered Appy Health Wayfarer.   All Information collected is directly from the Wayfarers request and information received from the Wayfarers request must be received digitally and formatted to the health care  industry data exchange requirements.

What Personal Information Do We Collect?

Personal information is data that can be used to identify you. The types of personal information that we collect depend on your interactions with us. We collect personal information that generally fall into the following categories:

Identifiers, such as your name, email address, or IP address.

Information contained in our customer records, such as postal address or telephone number.

Commercial information, such as information regarding products or services you purchased.

Internet or other electronic network activity information, such as how you interact with our website.

Professional or employment information, such as your job title or employer.

Health plan coverages, such as your benefit coverages, eligibility, and in-network, out-of-network out of pocket cost.

Geolocation data, such as your general location information (e.g., city/state) which may be collected or derived from your IP address. In addition, some of our services may request your precise location information via GPS-based functionality to allow certain features to work. We will ask your permission before we collect or use precise location information, in accordance with any applicable legal requirements to the extent precise geolocation information is considered “sensitive” information under applicable law. 

How Do We Collect Your Information?

We may collect information from you in the following ways:

How Do We Use Your Information?

We use your information:

We may use information that does not identify you and could not reasonably be used to identify you (including information that has been aggregated, anonymized, or de-identified) for any purpose except as prohibited by applicable law.

How Do We Share Your Information?

Appy Health Inc. does not share, sell, rent or lease its member lists to third parties.

Appy Health Inc. collects and uses the Member information to operate the Appy Health Member Choice technology via its website(s) and mobile solution to deliver the services the Member has requested.

Appy Health Inc. may also use the Members identifiable information to inform you of other products or services available with the Member is signed in to the Appy Health Member Choice technology.

Members can opt-out of receiving product or service offerings by visiting the Appy Health website https://appyhealth.com/ or the mobile app, in the Members profile, settings section and select opt-out of receiving product and service offerings.

We share information outside of Appy Health in the following circumstances:

We also share information with other entities in the following situations:

Notwithstanding the above, we may share information that does not identify you and could not reasonably be used to identify you (including information that has been aggregated, anonymized, or de-identified) except as prohibited by applicable law.

With respect to deidentified patient information, we disclose such deidentified information to third parties only when permissible pursuant to our contractual commitments with our customers and in accordance with Health Insurance Portability and Accountability Act (“HIPAA”) requirements or other applicable law.  We employ the safe harbor method or the expert determination method, as enumerated under HIPAA.  Those third parties to whom the deidentified data is disclosed are third party service providers/vendors with whom we have relationships and/or academic researchers and/or institutions that are contributing to healthcare.

Retention and Protection of Data

The Appy Health member choice technology is 100% Microsoft Azure cloud-powered application that complies with the stringent healthcare regulations and standards. The Azure security and compliance platform encompasses the exact architecture required for HIPAA, HL7, and FHIRE data exchange, security, Patient Health Information privacy legislation, and compliance. 

While we maintain your information, we protect it using administrative, physical, and technical security safeguards designed to protect your information. When we collect certain sensitive information, we encrypt the transmission of that information using secure socket layer technology (SSL). Despite these measures, we cannot guarantee the security of the information we maintain about you.

We retain information for different periods of time depending on the purposes for which we collect and use it, as described in this Policy. We will not retain information for longer than needed to fulfill these purposes unless a longer retention period is required to comply with legal obligations. Also, there may be technical or other operational reasons where we are unable to delete or de-identify your information. Where this is the case, we will take reasonable measures to prevent further processing your information.

Cookies and Automated Data Collection Technology

The Appy Health website www.AppyHealth.com DOES NOT use cookies and/or similar technologies (such as pixels and pixel tags, ad tags, Software Development Kits (“SDKs”) clear GIFs, session replay scripts, and Javascript.

Social Media and Other Integrations?

Some of our Sites and services may have social media and technology integrations that are operated or controlled by separate entities. We also may collect information from third party social media and marketing companies to enhance our data sets. Some examples include:

Please note that when you interact with other entities, including when you leave our Sites, those entities may independently collect information about you and solicit information from you. The information collected and stored by those entities remains subject to their own policies and practices, including what information they share with us, your rights and choices on their services and devices, and whether they store information in the U.S. or elsewhere. We encourage you to familiarize yourself with and consult their privacy policies and terms of use.

State Consumer Privacy Rights

Rights for Residents of Applicable States

If you are a resident of a state with applicable consumer privacy laws, you may have the following rights:

If you live in a state that requires specific consent prior to processing your sensitive personal information for certain purposes, we will obtain such and you can withdraw your consent at any time.

Residents of applicable states may exercise the above rights by:

We may ask you to provide us with information necessary to reasonably verify your identity before responding to your request. We will consider all requests and provide our response within the time period required by applicable law. Please note, however, that certain information may be exempt from such requests. If we deny your request in whole or in part, you may have the right to appeal the decision. In such circumstances, we will provide you with information regarding the appeals process.

Response Timing and Format

We endeavor to respond to a member request within forty-five (45) days of its receipt. If we require more time (up to 90 days), we will inform you of the reason and extension period in writing.

California Resident Privacy Notice

Below, please find the categories of information we may have collected about you and the purposes for the collection, and the third parties with whom your personal information may have been disclosed, shared. For more information on these practices, please see Sections III-VI.

Categories of personal information collectedPurposes for the collection or sharing of personal informationThird parties with whom personal information may have been disclosed, shared, or sold
– Identifiers
– Information contained in our members records
– Commercial information
– Internet or other electronic network activity information
– Professional or employment information
– Geolocation data Inferences drawn from other personal information
– Inferences drawn from other personal information
– To provide the Sites
– To improve the Sites
– To personalize the Sites
– Marketing and advertising
– Business operations
– Where you have given us your consent
– As required by applicable law
– To evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of our assets
– Service providers
– Third Party Partners
– Our related entities
– Other users through the Sites (when you make your information public or otherwise accessible
– With our customers
– Where you have given us your consent  

Federal Appy Health Member Privacy Rights

Appy is the Members 21st Century Cures Act, HIPPA compliant, private single source technology where the Member owns, manages, and can share their Protected Health Information (PHI) across the Appy Health Members clinical, behavioral, and wellness provider networks. 

The 21st Century Cures Act

Member Data Portability and Interoperability

Appy Health TechnologySolution / OfferingsDescription
InteroperabilityComplete Health DataComplete Member Protected Health Information (PHI) increases the clinical interaction between the Members physicians, healthcare professionals, eliminating time updating Member PHI internal records.
 Prescribed Member Care Plan VisibilityDigital notifications of a member’s admission, discharge, or transfer to all applicable post-acute care services, PCP and other healthcare professionals identified by the Member as primarily responsible for the Members care and who needs to receive information on the Members’ status for treatment, care coordination, or quality improvement purposes. 
Member ControlledAutonomous, HIPPA Compliant Protected Health Information (PHI) of the Member is documented and maintained by the Member in a single data repository that is compliant with HIPPA regulations.
Member OwnedMember owned PHI empowers the Member to control, maintain and share personal PHI, with the Members Care Team improving collaboration and accuracy 
Portable, Secure, PrivateEncrypted Cloud-Based TechnologyThe Appy Health mobile platform is 100% Microsoft Azure cloud-powered application that complies with stringent regulations and standards.  The Azure Security & Compliance platform encompasses the exact architecture required to meet HIPAA and HITRUST security, privacy, and compliance obligations, along with supporting documentation.
Member Managed Protected Health Information (PHI).  Member managed Protected Health Information (PHI) is fully compliant with HIPPA laws and regulations
Transferable to any authorized health care entity Member is in complete control of storing, sharing, and managing their Personal and Health Information with their care team

Protected Health Information

Appy Health TechnologySolution / OfferingsDescription
Member Health InformationReview of SystemsMember completes the “Reason for Visit” questionnaire during the digital appointment booking process to ensure the appropriate time and clinical resources are allocated for the clinical visit.
Past Medical HistoryThe Member’s past medical history is documented and stored as a part of their care portfolio. The member can choose to share their health information during the diagnostic evaluation or when considering a course of treatment.
Past Surgical HistoryThe Member’s past surgical history is documented and stored as a part of their care portfolio. Physicians and Healthcare Professionals can refer to this information during a diagnostic evaluation, when determining treatment eligibility and efficacy, or when considering a course of treatment.
Family Health HistoryThe members personal care team and others with whom the Member chooses to share their health information will be able to access and refer to this information as it is relevant in diagnostic evaluation.
Social HistoryThe Member’s social history is documented and stored as a part of their care portfolio.
MedicationsThe Member’s past and current prescribed medications are documented and stored as a part of their care portfolio. This information equips the physician to make a better-informed decision when prescribing drugs, constructing dietary restrictions and guidelines, and recommending vitamins and supplements to Members.
AllergiesThe Member’s known allergies are documented and stored as a part of their care portfolio along with any specific drug allergies. Physicians and Healthcare Professionals can refer to and consider the Member’s allergies in a diagnostic evaluation, constructing a treatment plan or in a medical emergency. 
ImmunizationsThe Member’s Immunizations are documented and stored as a part of their care portfolio.
Labs and ImagingMember lab and imaging records are documented and stored as a part of their care portfolio. The Member’s personal care team and others with whom the Member chooses to share their health information will be able to access and refer to this information as it is relevant in diagnostic evaluation and in determining a course of treatment.

Personal Demographic and Preferences

 
Appy Health TechnologySolution / OfferingsDescription
General InformationDemographicsAppy Health captures thousands of data clinical elements from numerous trusted industry resources.
Contact PreferencesMember contact preferences and approvals are essential to engagement. These include Member home number, work number, mobile number, and email address.
Driver’s LicenseA Member may include a copy of their driver’s license, both the front and back view for convenient documentation.
Physical CharacterMembers may document physical characteristics or defining traits such as, height, weight, hair color, eye color and blood type.
Address InformationThe Members Address options include Home Address, Billing Address, and Mailing Address.
Emergency ContactsMembers may list their emergency contact information, which confirms the sharing of their PHI.
Employer InformationMembers can manually add an employer’s information to their profile or select from Appy Health approved Employers.
Military StatusMembers who have served or are currently serving in the Military may select from the following: “Active”, “Ready Reserve”, “Veteran”, “Reserves”, “National Guard”, “United States Space Force”, service status categories and their Military branch.
Advanced DirectivesMembers can document and share an Advanced Directive with family, outside parties, and hospitals with supporting documentation if that Member can no longer make decisions for themselves.
Pharmacy PreferencesMembers can select a preferred pharmacy where they desire medications to be sent by a physician or healthcare professional. Members may search by pharmacy name or by zip code.
SettingsPrivacy Policies Terms of UseMembers can review the Appy Health Terms of Use, Privacy Policy, at their convenience.
Preferred LanguageMembers can select their preferred language in settings.
Assistance       CalloutsMembers can access assistance options including, interpreter assistance and direct assistance options.
NotificationsAppointment reminders, events, marketplace promotions, messaging, general notifications
Data Privacy SharingDigitally share Health and Demographic data elements.
Member Preferred Care TeamPrimary Care Physicians (PCP)Members can select Primary Care Physicians to be a part of their care team. Members can digitally book appointments or view, manage, and share a PCP’s prescribed care plan with family or care team Members.
SpecialistsMembers can select specialists to be a part of their care team. Members can digitally book appointments or view, manage, and share a specialist’s prescribed care plan with family or care team Members.
Digitized Care Plan DirectivesDigitized care plan directives can be viewed and managed by the Member. Members can share care plan directives with other Members of their care team as well as family and loved ones.
Pre-visit PaymentHSA, FSA, Credit Card: Appy Health can collect Member payment responsibility on the day of Members’ scheduled visit. Additional processing fees will apply.

Member Health, Dental, and Vision Plan Coverages

 
Appy Health TechnologySolution / OfferingsDescription
Insurance AcceptedIn-Network ConfirmationMembers are directly navigated to In-Network providers based upon their specific health benefit plan requirements.
Image of Member Insurance Card (Front and Back)Members may utilize a digital copy of both the front and back of their insurance card for quick accessibility and convenience.
Out-Of-NetworkMembers can select to see out of networks providers.
Insurance VerificationActive StatusMembers can view current healthcare spend and monitor the status of their health benefits plan.
Effective DatesHealth plan effective dates are documented for the Member to reference as needed.
Member Plan CoveragesA Member can review and reference his or her plan coverages to make informed decisions on their healthcare journey.
Insurance EligibilityCo-InsuranceSpecific plan coverage elements, including co-insurance, can be stored, and referred to by the Member at their convenience.
Co-PaysSpecific plan coverage elements, including co-pays, can be stored, and referred to by the Member at their convenience.
DeductiblesSpecific plan coverage elements, including deductibles, can be stored and referred to by the Member at their convenience.
YTD Out-of-Pocket TotalsMembers can monitor YTD Out-of-Pocket costs and track deductible satisfaction progress.

California Resident Privacy Notice

If you are a California resident, you may have the following rights with respect to the personal information we process on your behalf:

California residents may exercise the above rights by:

Submitting a request to the following email SUPPORT@APPYHEALTH.COM

Only you, or someone legally authorized to act on your behalf, may make a verifiable Member request related to your personal information. You may also make a verifiable Member request on behalf of your minor child.

We may ask you to provide us with information necessary to reasonably verify your identity before responding to your request. We may require you to use your email address in order to perform such verification. We will consider all requests and provide our response within the time period required by applicable law. Please note, however, that certain information may be exempt from such requests. If we deny your request in whole or in part, you may have the right to appeal the decision. In such circumstances, we will provide you with information regarding the appeals process.

Response Timing and Format  

We endeavor to respond to a member request within forty-five (45) days of its receipt. If we require more time (up to 90 days), we will inform you of the reason and extension period in writing.

Any disclosures we provide will only cover the 12-month period preceding the Member request’s receipt. The response we provide will also explain the reasons we cannot comply with a request, if applicable.

Other California Privacy Rights

California’s “Shine the Light” law (Civil Code Section § 1798.83) permits users (Members) of our Sites that are California residents to request certain information regarding our disclosure of personal information to third parties for their direct marketing purposes in particular: Members who are residents of California may request (i) a list of the categories of personal information disclosed by us to third parties during the immediately preceding calendar year for those third parties’ own direct marketing purposes; and (ii) a list of the categories of third parties to whom we disclosed such information. To make such a request, please write us at: Chief Compliance Officer, Appy Health Inc., 526 Kingwood Drive, B380, Kingwood, TX 77339. We may require additional information from you to allow us to verify your identity and we are only required to respond to requests once during any calendar year.

Minors

The Sites are intended for a general audience and are not intended for minors under the age of eighteen. Appy Health does not wish to obtain any information from or about such minors through the Sites. If you are under eighteen years old, do not use the Sites.

We do not knowingly gather personal information (as defined by the U.S. Children’s Privacy Protection Act, or “COPPA”) about children under the age of 13. If you are a parent or guardian and you believe we have collected information from your child in a manner not permitted by law, contact us using the information in the “Contact” section below. We will remove the data to the extent required by applicable laws.

 We do not knowingly “sell,” as that term is defined under the CCPA, the personal information of minors under 16 years old who are California residents.

International Transfer

We are based in the U.S. and the information we collect is governed by U.S. law. If you are accessing the Sites from outside of the U.S., please be aware that information collected through the Sites may be transferred to, processed, stored, and used in the U.S. and other jurisdictions. Data protection laws in the U.S. and other jurisdictions may be different from those of your country of residence. Your use of the Sites or provision of any information therefore constitutes your consent to the transfer to and from, processing, usage, sharing, and storage of information about you in the U.S. and other jurisdictions as set out in this Policy.

UPDATES TO THIS PRIVACY POLICY

We reserve the right to make updates and revisions to this Policy at our discretion and at any time. When we make changes to this Policy, we will post the updated notice on http://www.appyhealth.com/and update the effective date. Any changes will be effective as of the “Effective” date. Your continued use of our Sites following the posting of changes constitutes your acceptance of such changes

Contact

If you have any questions or comments about this Policy, the ways in which Appy Health collects and uses your information described here, your choices and rights regarding such use, or you wish to exercise your rights under an applicable state law, please contact us by:

Or by writing to: 

Appy Health, Inc.   
Attn: Chief Compliance Officer  
526 Kingwood Drive, B380 
Kingwood, TX 77339

If you have a disability and would like to access this Policy in an alternative format, please email SUPPORT@APPYHEALTH.COM

Response Timing and Format  

We endeavor to respond to a members request within forty-five (45) days of its receipt. If we require more time (up to 90 days), we will inform you of the reason and extension period in writing.

Any disclosures we provide will only cover the 12-month period preceding the Member request’s receipt. The response we provide will also explain the reasons we cannot comply with a request, if applicable.

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