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EU-U.S. Privacy Shield Framework: Inactive - Lapse

Original Certification Date: 11/15/2017
Inactive Start Date: 12/15/2018

Swiss-U.S. Privacy Shield Framework: Inactive - Lapse

Original Certification Date: 11/15/2017
Inactive Start Date: 12/15/2018

Purpose of Data Collection

Advance Medical’s primary focus is on delivering informational services to individuals (employees or members) and family members of our client companies (insurance and non-insurance types), at a time when medical conditions facing them seem very difficult. Advance Medical's clients are located in North America. Some clients may have a global presence where expats from EU countries are working in the United States. As a result, Advance Medical would like to assure its clients of our comment to data privacy . Services available to client members are based on providing support, advice and interpretation of medical information through the Advance Medical “Expertise-on-Demand” (EoD) Product. EoD delivers support through medical research, education and assistance with: • Navigating through the medical system • Serving as a patient advocate for members • Giving members personalized decision support, and • Providing expert medical opinions. There are no clinical services provide through Advance Medical. In fact information related to medical history is received by consent of the individual requesting service, from their existing medical provider(s). The request for service is initiated directly by the member or employee of a client. All calls require the collection of some information. The least amount of data collected is of the “personally Identifiable-PII” type. In situations where a member is interested in the Advance Medical “Expert Medical Opinion-EMO” service, a more specific set of “protected health information-PHI” is required. All members are confirmed as eligible based on Client defined criteria and a list of individuals who are eligible. For those members requesting “EMO” services, a consent form to release information must be completed and received before a Physician Case Manager (PCM) is assigned. The Advance Medical “Expert Medical Opinion” case management and service delivery process does not officially open until the Advance Medical Patient Services Administrative team receives all necessary paperwork and consent forms from the member, in accordance with Health Insurance Portability and Accountability Act (HIPAA) guidelines. Upon receipt of all paperwork from the member, a PCM will be assigned; and will then: • Complete a comprehensive medical history and collect details about the member’s current concerns. Initiate a request to collect medical records by the AM Patient Services Administration team. • Identify an expert or team of expert medical doctors from around the world to review member’s case. • Send the expert team de-Identified information and conduct followup conferences • Serve as an intermediary between the member and medical experts to gather additional data • Collect opinions of experts involved • All opinions are coordinated and incorporated into a single report by the PCM. The PCM schedules a meeting with the member to review the report of expert opinions. The member is always informed that the report is not a diagnosis but information they can review with their medical provider to consider in the next step. The Advance Medical Headquarters in Westwood includes • A Medical Operations Team of 50-100 non-physician health professionals work out of Westwood to support a 7x24x365 availability to make contact with Advance Medical from anywhere around the world. Calls received from non-North American members are logged and contact information is transferred the caller’s in country local office. Additionally, other staff members supporting North America include: • Executive Vice President/General Manager • Medical Director – Assistant Medical Director and a Team of of 70 to 110 Patient Case Managers throughout the United States; • Director of Finance • Business and Human Resource Manager • Director of IT and 4 team

Dispute Resolution

Questions or Complaints?

If you have a question or complaint, please contact Advance Medical at:

Anita Harris
Privacy, Security & Compliance Officer
Advance Medical
100 Lowder Brook Drive Westwood, Ma 02090
100 Lowder Brook Drive, Suite 2200
Westwood, Massachusetts 02090

Appropriate statutory body with jurisdiction to investigate any claims against Advance Medical regarding possible unfair or deceptive practices and violations of laws or regulations covering privacy Federal Trade Commission