ESIGN Consent to Use Electronic Records and Signatures
As part of your relationship with us, we want to ensure you have all of the information you need to effectively manage your account(s). Our goal is to provide you with as many options as possible for receiving your account documents. We are required by law to give you certain information “in writing” – which means you are entitled to receive it on paper. We may provide this information to you electronically, instead, with your prior consent. We also need your general consent to use electronic records and signatures in our relationship with you. So, before you use our Electronic Services you must review and consent to the terms outlined below.
In this consent:
In our sole discretion, the Communications we provide to you, or that you sign or agree to at our request, may be in electronic form (“Electronic Records”). We may also use electronic signatures and obtain them from you as part of our transactions with you.
Electronic Records may be delivered to you in a variety of ways. These various delivery methods are described in our Online Access Agreement and in other agreements we may have with you from time to time. In some cases, you will be able to choose whether to receive certain Communications electronically, or on paper, or both. We will provide you with instructions on how to make those choices when they are available.
We may always, in our sole discretion, provide you with any Communication in writing, even if you have chosen to receive it electronically.
Sometimes the law, or our agreement with you, requires you to give us a written notice. You must still provide these notices to us on paper, unless we specifically tell you in another Communication how you may deliver that notice to us electronically.
There are certain Communications that by law we are not permitted to deliver to you electronically, even with your consent. So long as required by law, we will continue to deliver those Communications to you in writing. However, if the law changes in the future and permits any of those Communications to be delivered as Electronic Records, this consent will automatically cover those Communications as well.
If we provide Electronic Records to you, and you want a paper copy, you may contact the Patient Advocate Center and request a paper version at 1.888.458.6272.
Your consent covers all Communications relating to any AccessOne account. Your consent remains in effect until you give us notice that you are withdrawing it.
From time to time, you may seek to obtain a new AccessOne account from us. When you do, we may remind you that you have already given us your consent to use Electronic Records and signatures. If you decide not to use Electronic Records and signatures in connection with the new account, your decision does not mean you have withdrawn this consent for any other AccessOne account.
You have the right to withdraw your consent at any time. Please be aware, however, that withdrawal of consent may result in the termination of your access to our Electronic Services, including your ability to use certain AccessOne accounts. Your withdrawal of consent will become effective after we have had a reasonable opportunity to act upon it.
If you are receiving online account statements, the termination will cause paper statements to be mailed to you via the U.S. Postal Service or other courier.
To withdraw your consent you must contact us at 1.888.458.6272.
You must promptly notify us of any change in your email or other electronic address. You may change the email address on record for you by going to the Account Profile and updating your contact information. If you have given us another type of electronic address, such as an electronic address or mobile phone number for SMS text messages, you may change that in your profile or call 1.888.458.6272 to update.
To receive Electronic Records, you must have access to:
You must also have an active email address.
In some cases, you may also need a specific brand or type of device that can support a particular software application, including an application intended for particular mobile or handheld devices.
If our hardware or software requirements change, and that change would create a material risk that you would not be able to access or retain your Electronic Records, we will give you notice of the revised hardware or software requirements. Continuing to use Electronic Services after receiving notice of the change is reaffirmation of your consent.
Please note, we are unable fulfill and service AccessOne accounts in a language other than English. Future Communications may be in English only. If you are not fluent in English, you should consider obtaining the services of an interpreter or taking other steps to ensure you understand the transaction before entering into it and to explain any future Communications in English.
By providing your consent, you are also confirming that you are able to receive and review electronic records, and that you have an active email account. You are also confirming that you are authorized to, and do, consent on behalf of all the other account owners, authorized signers, authorized representatives, delegates, account owner and/or service users identified with your AccessOne account.
Online Access Agreement known as the ESIGN Consent Disclosure covers online access to our Electronic Services, and all amendments to the agreement;
All of the Communications related to any AccessOne account, except for those excluded by the terms of this ESIGN Consent Disclosure;
All of the periodic account and activity statements, disclosures and notices we provide to you concerning your AccessOne account;
Any notice or disclosure regarding late fees and returned payment fees;
Notices of amendments to any of your agreements with us; and
Other disclosures and notices that we are legally required to provide to you, or choose to provide to you in our discretion.
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