Privacy and Protected Health Information

Southwest Network is dedicated to maintaining the privacy and the security of the protected health information (PHI) of its members. You may confidentially report an actual or suspected privacy breach or the unauthorized access or disclosure of PHI or confidential information to our privacy officer using our privacy hotline, 602.263.1444, or by email to privacy@southwestnetwork.org.

Notice of Privacy Practices
Aviso de Prácticas de Privacidad

Health Information Coordination

To optimize your care, Southwest Network participates in Health Current, a non-profit, non-governmental health information exchange (HIE). The HIE can help your doctor, healthcare providers, and health plans better coordinate your care by securely sharing your health information. This Notice explains how the HIE works and will help you understand your rights regarding the HIE under state and federal law.

Notice of Health Information Practices
Notificación de Prácticas de la Información de la Salud

Report fraud and program abuse

Committing fraud and abuse against Southwest Network hurts those we serve, their family members, and our community.

Fraud is lying and stealing, intentional deception or misrepresentation. It takes on many forms, including submitting falsified claims for services, billing of services not provided, or unlicensed individuals providing services. Program abuse happens when doctors or providers don’t follow standard practices, which leads to unnecessary costs, improper payment, or services that aren’t medically necessary.

If you suspect fraud and/or program abuse by Southwest Network, one of its employees, the regional behavioral health authority, a behavioral health provider, or a member within Arizona’s public behavioral health system, it is your responsibility to report it.

You have several options for reporting fraud and program abuse and may choose the one that is most comfortable for you:
   • Southwest Network compliance officer, 602.263.1470, toll free
     1.844.807.4896, or privacy@southwestnetwork.org. Or, send a written
     complaint to the attention of the compliance officer at 2700 N. Central
     Ave., Suite 1050, Phoenix AZ 85004
   • Arizona Department of Health Services Bureau of Corporate
     Compliance, 602.364.3758 or www.azdhs.gov
   • Special Investigations Unit of the regional behavioral health
     authority, 1.800.338.6361 or www.mercycareaz.org
   • Arizona Health Care Cost Containment System (AHCCCS),
     Office of Inspector General, www.azahcccs.gov

To report Medicare-related fraud, please call 1.800.MEDICARE or visit www.medicare.gov, which also provides information and tips to help you better understand how to prevent, spot, and report suspected fraud.