AXA PPP healthcare and AXA PPP healthcare Administration Services (we) will hold and use information about specialists and other healthcare providers (you) to assess and maintain your recognition status. We may ask members to provide feedback on their healthcare experience. We will use this information to monitor the service that members receive. The questions we ask relate to levels of satisfaction, likelihood to recommend and rating of specific attributes.
We will also use information to assess and settle claims with members and where agreed to make eligible payments to you.
We send personal and sensitive personal information in confidence for processing by other companies including companies located in countries outside the European Economic Area (EEA), including to countries where the laws protecting personal information may not be as strong as in the EEA. We take steps to ensure that any sub-contractors give at least the same protections as we do.
We are required by law, in certain circumstances, to disclose information to law enforcement agencies about suspicions of fraudulent claims and other crime. We will disclose information to third parties including other insurers for the purposes of prevention or investigation of crime including reasonable suspicion about fraud or otherwise improper claims. This may involve adding non-medical information to databases such as the Health Insurance Counter Fraud Group database, that will be accessible by other insurers and law enforcement agencies. We are obliged to notify the General Medical Council or other relevant regulatory body about any issue where we have reason to believe a medical provider’s fitness to practice may be impaired.