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BUSINESS ASSOCIATE ADDENDUM
To Professional Administrative Services Only Agreement
This Business Associate Addendum (Addendum) is by and between Blue Cross and
Blue Shield United of Wisconsin (Business
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How to fill out business associate addendum to
How to fill out a business associate addendum to:
01
Review the document: Before filling out the business associate addendum, it's important to carefully review the document to understand its purpose and requirements. Familiarize yourself with the terms and conditions outlined in the addendum.
02
Gather necessary information: Collect all the necessary information required to complete the addendum. This may include your legal business name, contact information, and any specific details related to your role as a business associate.
03
Identify the covered entity: Determine the name and contact information of the covered entity or entities that you will be working with as a business associate. This information is typically provided by the covered entity itself.
04
Define services or activities: Clearly specify the services or activities that you will be providing as a business associate. This can include details about the scope of work, the handling of protected health information (PHI), and any other relevant obligations.
05
Review and modify obligations: Carefully review the obligations listed in the addendum and assess if any modifications or additions need to be made to accurately reflect your role as a business associate. This may include addressing specific security and privacy requirements, breach notification obligations, or any other relevant provisions.
06
Seek legal advice if needed: If you have any doubts or concerns about filling out the business associate addendum, consider seeking legal advice from an attorney specializing in healthcare law. They can provide guidance and ensure that you comply with all legal requirements.
Who needs business associate addendum to:
01
Covered entities: Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, often need a business associate addendum when they engage with external entities that will have access to their patients' protected health information (PHI). This helps ensure that the business associates understand and commit to protecting the privacy and security of the PHI they handle.
02
Business associates: Any entity or individual that performs functions or services on behalf of a covered entity and involves the use or disclosure of PHI may need a business associate addendum. This includes service providers, consultants, contractors, and other entities that have access to PHI in order to perform their duties.
03
Subcontractors and downstream business associates: In some cases, business associates may engage subcontractors or other entities to assist in carrying out their role as a business associate. If these subcontractors will also have access to PHI, they may need to sign a business associate addendum to ensure they understand and comply with the same privacy and security obligations.
Overall, anyone who handles or has access to PHI and works in a capacity that involves providing services or support to covered entities may need a business associate addendum. It is crucial to determine the specific requirements based on the nature of the relationship and the services being provided.
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