NOTICE OF A CYBERSECURITY EVENT
July 18, 2025 – Think Big Health Care Solutions (“Think Big”) is a health care consulting and practice management company that provides services to medical practices including patient billing, contracting and credentialling. As such, Think Big may have received certain of your personal information because you are a physician, provider, or patient associated with a client to which it has provided services. This notice is intended to provide details about the incident, steps we are taking in response, and resources available to help protect against the potential misuse of sensitive personal information.
What Happened? On June 20, 2025, Think Big became aware of suspicious activity involving an employee’s email account. Upon discovery of this incident, Think Big immediately launched an investigation and promptly engaged third-party cybersecurity specialists to assist with securing its environment, as well as to conduct a comprehensive forensic investigation into the nature and scope of the incident. While the forensic investigation is ongoing, Think Big found evidence to suggest that some emails and files may have been compromised by an unauthorized third-party.
Based on these findings, Think Big began reviewing the affected systems to identify the specific individuals and types of information that may have been compromised. While this process remains ongoing, Think Big will notify affected individuals by mail as the information becomes available.
What Information Was Involved? Based on the investigation, the following information related to potentially impacted individuals may have been subject to unauthorized access: first name/initial and last name, Social Security number, Tax Identification number, passport number, address, date of birth, admission dates, telephone/fax numbers, email address, Web URL, health insurance policy number, bank or financial account number, routing number, credit/debit card number, CVV and expiration date of credit/debit card, diagnosis/condition, lab results, medications, claims information, medical record number, other medical/health information, CPT codes, referring provider name.
Please note that the information above varies for each potentially impacted individual. Affected individuals will be notified by mail of information that was impacted.
What Think Big Is Doing. Data privacy and security is among Think Big’s highest priorities, and it is committed to doing everything it can to protect the privacy and security of the personal information in its care. Upon discovery of the incident, Think Big moved quickly and diligently to investigate, respond, and assess the security of its system with the assistance of outside experts.
Despite having layered security safeguards and staff education, Think Big has also taken additional technical and administrative steps to further enhance the security of its systems and customer data to mitigate the risk of future harm. Specifically, Think Big engaged a consulting Chief Information Officer to guide its long-term cybersecurity strategy, develop additional security policies and protocols, and ensure continuous compliance and education with best practices. Think Big has also engaged a third-party cyber security company that is providing enhanced solutions to augment threat detections and provide other additional levels of protection. Think Big continues to actively review and update internal protocols for password management, access controls, and device usage. All Think Big staff are undergoing enhanced training on phishing prevention, secure data handling, and incident response procedures to further promote a security-first culture across the organization. Think Big also notified law enforcement of this incident and this notice has not been delayed due to any law enforcement investigation.
What You Can Do. We encourage all impacted individuals to enroll in the free credit monitoring and identity protection services by calling the dedicated assistance line at 866-578-0345 and using the Enrollment Code that will be provided in your notification letter. HaystackID representatives are available Monday through Friday, during the hours of 9:00 a.m. and 9:00 p.m. Eastern Standard Time (excluding U.S. national holidays). Please note the deadline to enroll is ninety days after the date of your notice letter.
We also recommend that you remain vigilant for the next 12 to 24 months and take steps to protect yourself against incidents of identity theft and fraud, including monitoring your accounts, account statements, and free credit reports for suspicious or unauthorized activity. Additionally, security experts suggest that you contact your financial institution and all major credit bureaus to inform them of such a breach and then take recommended steps to protect your interests, including the possible placement of a free fraud alert on your credit file. Please review the enclosed Steps You Can Take to Help Protect Your Information to learn more about how to protect against the possibility of information misuse.
Other Important Information:
If you have any questions or concerns not addressed in this letter, you may contact the dedicated assistance line by calling 866-578-0345 (toll free) Monday through Friday, during the hours of 9:00 a.m. and 9:00 p.m. Eastern Standard Time (excluding U.S. national holidays). These resources will be available to you for 90 days after the date of this letter.
Think Big sincerely regrets any concern or inconvenience this matter may cause and remains dedicated to ensuring the privacy and security of all information in our control.
Sincerely,
Cheryl Anders
Chief Executive Officer
Think Big Health Care Solutions
STEPS YOU CAN TAKE TO HELP PROTECT YOUR INFORMATION
Monitor Your Accounts
We recommend that you remain vigilant for incidents of fraud or identity theft by regularly reviewing your credit reports and financial accounts for any suspicious activity. You should contact the reporting agency using the phone number on the credit report if you find any inaccuracies with your information or if you do not recognize any of the account activity.
You may obtain a free copy of your credit report by visiting www.annualcreditreport.com, calling toll-free at 1-877-322-8228, or by mailing a completed Annual Credit Report Request Form (available at www.annualcreditreport.com) to Annual Credit Report Request Service, P.O. Box 105281, Atlanta, GA, 30348-5281. You may also purchase a copy of your credit report for a fee by contacting one or more of the three national credit reporting agencies.
You have rights under the federal Fair Credit Reporting Act (FCRA). The FCRA governs the collection and use of information about you that is reported by consumer reporting agencies. You can obtain additional information about your rights under the FCRA by visiting https://www.ftc.gov/legal-library/browse/statutes/fair-credit-reporting-act.
Credit Freeze
You have the right to add, temporarily lift and remove a credit freeze, also known as a security freeze, on your credit report at no cost. A credit freeze prevents all third parties, such as credit lenders or other companies, whose use is not exempt under law, from accessing your credit file without your consent. If you have a freeze, you must remove or temporarily lift it to apply for credit. Spouses can request freezes for each other as long as they pass authentication. You can also request a freeze for someone if you have a valid Power of Attorney. If you are a parent/guardian/representative you can request a freeze for a minor 15 and younger. To add a security freeze on your credit report you must make a separate request to each of the three national consumer reporting agencies by phone, online, or by mail by following the instructions found at their websites (see “Contact Information” below). The following information must be included when requesting a security freeze: (i) full name, with middle initial and any suffixes; (ii) Social Security number; (iii) date of birth (month, day, and year); (iv) current address and any previous addresses for the past five (5) years; (v) proof of current address (such as a copy of a government-issued identification card, a recent utility or telephone bill, or bank or insurance statement); and (vi) other personal information as required by the applicable credit reporting agency.
Fraud Alert
You have the right to add, extend, or remove a fraud alert on your credit file at no cost. A fraud alert is a statement that is added to your credit file that will notify potential credit grantors that you may be or have been a victim of identity theft. Before they extend credit, they should use reasonable procedures to verify your identity. Please note that, unlike a credit freeze, a fraud alert only notifies lenders to verify your identity before extending new credit, but it does not block access to your credit report. Fraud alerts are free to add and are valid for one year. Victims of identity theft can obtain an extended fraud alert for seven years. You can add a fraud alert by sending your request to any one of the three national reporting agencies by phone, online, or by mail by following the instructions found at their websites (see “Contact Information” below). The agency you contact will then contact the other credit agencies.
Federal Trade Commission
For more information about credit freezes and fraud alerts and other steps you can take to protect yourself against identity theft, you can contact the Federal Trade Commission (FTC) at 600 Pennsylvania Avenue NW, Washington, DC 20580, www.identitytheft.gov, 1-877-ID-THEFT (1-877-438-4338), TTY: 1-866-653-4261. The Federal Trade Commission also encourages those who discover that their information has been misused to file a complaint with them. You can obtain further information on how to file such a complaint by way of the contact information listed above.
You should also report instances of known or suspected identity theft to local law enforcement and the Attorney General’s office in your home state and you have the right to file a police report and obtain a copy of your police report.
Contact Information
Below is the contact information for the three national credit reporting agencies (Experian, Equifax, and Transunion) if you would like to add a fraud alert or credit freeze to your credit report.
| Credit Reporting Agency | Access Your Credit Report | Add a Fraud Alert | Add a Security Freeze |
| Experian | P.O. Box 2002 Allen, TX 75013-9701 1-866-200-6020 www.experian.com | P.O. Box 9554 Allen, TX 75013-9554 1-888-397-3742 https://www.experian.com/fraud/ center.html | P.O. Box 9554 Allen, TX 75013-9554 1-888-397-3742 www.experian.com/freeze/ center.html |
| Equifax | P.O. Box 740241 Atlanta, GA 30374-0241 1-866-349-5191 www.equifax.com | P.O. Box 105069 Atlanta, GA 30348-5069 1-800-525-6285 www.equifax.com/personal/credit- report-services/credit-fraud-alerts | P.O. Box 105788 Atlanta, GA 30348-5788 1-888-298-0045 www.equifax.com/personal/credit– report-services |
| Transunion | P.O. Box 1000 Chester, PA 19016-1000 1-800-888-4213 www.transunion.com | P.O. Box 2000 Chester, PA 19016 1-800-680-7289 www.transunion.com/fraud-alerts | P.O. Box 160 Woodlyn, PA 19094 1-800-916-8800 www.transunion.com/credit-freeze |
Iowa and Oregon residents are advised to report suspected incidents of identity theft to local law enforcement, to their respective Attorney General, and the FTC.
Massachusetts residents are advised of their right to obtain a police report in connection with this incident.
District of Columbia residents are advised of their right to obtain a security freeze free of charge and can obtain information about steps to take to avoid identity theft by contacting the FTC (contact information provided above) and the Office of the Attorney General for the District of Columbia, Office of Consumer Protection, at 400 6th St. NW, Washington, D.C. 20001, by calling the Consumer Protection Hotline at (202) 442-9828, by visiting https://oag.dc.gov, or emailing at consumer.protection@dc.gov.
Maryland residents can obtain information about steps they can take to avoid identity theft by contacting the FTC (contact information provided above) or the Maryland Office of the Attorney General, Consumer Protection Division Office at 44 North Potomac Street, Suite 104, Hagerstown, MD 21740, by phone at 1-888-743-0023 or 410-528-8662, or by visiting http://www.marylandattorneygeneral.gov/Pages/contactus.aspx.
New York residents are advised that in response to this incident they can place a fraud alert or security freeze on their credit reports and may report any incidents of suspected identity theft to law enforcement, the FTC, the New York Attorney General, or local law enforcement. Additional information is available at the website of the New York Department of State Division of Consumer Protection at https://dos.ny.gov/consumer-protection; by visiting the New York Attorney General at https://ag.ny.gov/ or by phone at 1-800-771-7755; or by contacting the FTC at www.ftc.gov/bcp/edu/microsites/idtheft/ or https://www.identitytheft.gov/#/.
North Carolina residents are advised to remain vigilant by reviewing account statements and monitoring free credit reports and may obtain information about preventing identity theft by contacting the FTC (contact information provided above) or the North Carolina Office of the Attorney General, Consumer Protection Division at 9001 Mail Service Center, Raleigh, NC 27699-9001, or visiting www.ncdoj.gov, or by phone at 1-877-5-NO-SCAM (1-877-566-7226) or (919) 716-6000.
Rhode Island residents are advised that they may file or obtain a police report in connection with this incident and place a security freeze on their credit file and that fees may be required to be paid to the consumer reporting agencies. The number of Rhode Island residents affected by this incident is not yet known.