IntraNerve Neuroscience Holdings, LLC
Effective Date: January 27, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
IntraNerve Neuroscience Holdings, LLC (“INN,” “we,” “our”) is required by law to maintain the privacy and security of your Protected Health Information (“PHI”). We must follow the duties and privacy practices described in this Notice and provide you with a copy of this Notice.
Protected Health Information (“PHI”) is information that identifies you and relates to your health condition, healthcare services, or payment for those services.
We may use and disclose your PHI for the following purposes:
To provide, coordinate, or manage your healthcare and related services. This may include sharing information with doctors, technicians, or other healthcare providers involved in your care.
To bill and collect payment for services provided to you, including communication with your insurance company or other payers.
For business operations such as quality improvement, training, audits, accreditation, and compliance activities.
We may disclose PHI when required to do so by federal or state law.
We may disclose PHI for public health reporting, abuse or neglect reporting, and to prevent a serious threat to health or safety.
We will not use or disclose your PHI for the purpose of:
Before we may disclose PHI in response to law enforcement, court orders, or administrative requests that could relate to reproductive healthcare, we must obtain a signed attestation confirming that the request is not for a prohibited purpose under HIPAA.
We will not use or disclose your PHI for the following purposes without your written authorization:
You may revoke your authorization in writing at any time, except where we have already acted on it.
You have the following rights:
You may inspect or obtain an electronic or paper copy of your PHI. We will provide it within 15 calendar days of your request, with one 15-day extension if necessary. We may charge a reasonable, cost-based fee.
You may ask us to correct PHI you believe is incorrect or incomplete.
You may request limits on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree, except when you request that we not disclose information to your health plan for services you paid for in full.
You may request that we contact you in a specific way, such as only at work or by mail.
You may request a list of certain disclosures of your PHI made during the past six years.
You may request a paper copy of this Notice at any time.
You may file a complaint if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.
We are required to:
To exercise your rights or file a complaint, contact:
Privacy Officer
IntraNerve Neuroscience Holdings, LLC
24 S Weber St., Suite 200
Colorado Springs, CO 80903
Phone: (866) 226-8576
Email: info@intranerve.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr
We reserve the right to change this Notice. The revised Notice will apply to all PHI we maintain and will be available upon request and on our website.
This Notice is effective as of January 27, 2026.