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Ampla Health- Medical and Dental Services for Northern California
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Health Information For Patient

Home Health Information For Patient

Privacy is a fundamental right, recognized in the state and federal constitutions. Since 1983 California’s Confidentiality of Medical Information Act has guaranteed that patients can obtain their medical information from their healthcare providers with limited exceptions. The Privacy Rule permits covered entities to disclose PHI for treatment, payment, and health care operations without the need to first obtain an individual’s authorization or receive an access request by the individual to have the individual’s PHI directed to a third party for such purposes.  As a result, if an individual is seeking to have her PHI shared among her treating providers, the covered entities can and should do so; the individual should not have to facilitate this transmission by submitting an access request.

Ampla patients are welcome to request copies of their records from their provider without any barriers. Please follow instructions below:

 

Ampla Health Release of Information (records), Charging guidelines

For Patient Medical/Dental record requests:

For requests that are under 20 pages, no charge

For requests of a record over 20 pages through 129 pages, charges would be $.05 per page.

For requests of a record over 130 pages through 150 pages, charges would be $6.50

Any requests of a record over 150 pages will be referred to Sharecare.

Patient transferring care:

When requests for records comes from another provider, there is no charge for sending the records.

When a third party request comes in (lawyers, courts, other agencies, etc.)

These will be referred to Sharecare. Please see Sharecare’s information page for contact and pricing information.

 

Sharecare HDS Customer Service Contact Options

Sharecare Health Data Services is the Release of Information Service for Ampla Health . Once records have been copied you will receive an invoice from Sharecare. Although we cannot provide an exact amount, as rates are based on time and material, here are some examples of cost based on the information requested and media preference:

MEDIA OPTIONS

Approx. Pages

CD eDelivery Paper
10 $    6.41 $    3.87 $    4.90
40 $ 9.75 $    6.16 $ 9.39
100 $ 10.63 $    6.69 $ 13.27
300 $ 12.74 $    8.80 $ 25.38
500 $ 14.50 $ 10.21 $ 37.50

 

When will your records be ready?

 ► Your records will be ready in 5- 10 business days from the receipt of your request. You will receive an invoice as soon as records are ready.

►Customer Service: 800.560.3800Note: When calling our customer service number, the caller has the option to hold to speak with someone or leave the contact information and the call will be returned the same day.
► Check Request status online: https://recordstatus.sharecare.com/
Note: This option allows everyone to check status of a request by entering the patient’s name and DOB.
► Pay invoice online: https://payonline.hds.sharecare.com/
Note: Anyone that requested records can pay the invoice on line as oppose to calling to make payment over the phone or mailing a check.
► Receive records electronically: https://payment.hds.sharecare.com/Accounts/Verify
Note: Requesters can sign up to receive records electronically.
► Live Chat Support: https://hds.sharecare.com/contact-us/
► Note: Customer service reps are available to assist requesters via “live chat” during business hours.
► Pay by Mail: Sharecare Health Data Services, 8344 Clairemont Blvd., Suite 201, San Diego, CA 92111
Note: This option is also available for those that prefer to pay their invoice via mail.

 

 

 

 

** Ampla Health accepts most insurance plans including Medi-Cal Managed Care options, California Health and Wellness and Anthem Blue Cross Partnership Plans, Medicare, and private pay. **
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935 Market Street, Yuba City, CA 95991 (530) 674-4261
Toll Free # 1-866-358-9791
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