Get the free This Business Associate Agreement (the "Agreement") is made and entered in...

Business Associate Agreement Updated: January 03, 2018This Business Associate Agreement (the “Agreement “) is made and entered into effective as of, by and between One Health Record, also known

How to fill out this business associate agreement

How to fill out this business associate agreement

1. To fill out the business associate agreement, follow these steps:
2. Begin by entering the name and contact information of the covered entity (the organization providing the protected health information) and the business associate (the organization receiving the protected health information).
3. Specify the effective date of the agreement.
4. Identify the purpose of the disclosure of protected health information. This should include details such as the type of information being disclosed and the reason for the disclosure.
5. Outline the responsibilities of both the covered entity and the business associate. This should include how the information will be safeguarded, the permitted uses and disclosures of the information, and any additional obligations related to privacy and security.
6. Describe the business associate's obligations in the event of a breach, including notification requirements and the steps to be taken to mitigate the breach.
7. Include any additional provisions or requirements that are necessary for the specific circumstances.
8. Ensure that both parties review and sign the agreement, indicating their understanding and acceptance of the terms.
9. Retain a copy of the fully executed agreement for future reference and compliance purposes.
10. Please note that this is a general outline and the specific requirements of the business associate agreement may vary depending on the jurisdiction and industry.

Who needs this business associate agreement?

1. The business associate agreement is needed by any organization or individual that will be receiving protected health information (PHI) from a covered entity.
2. In the context of the Health Insurance Portability and Accountability Act (HIPAA), a covered entity refers to healthcare providers, health plans, and healthcare clearinghouses who transmit health information electronically.
3. Therefore, any entity or individual that provides services to covered entities and requires access to PHI, such as IT vendors, subcontractors, and business partners, would need to enter into a business associate agreement.
4. The purpose of the agreement is to establish the responsibilities and obligations of the business associate in protecting the confidentiality and security of the PHI.
5. It also ensures compliance with HIPAA regulations and helps to safeguard the privacy and integrity of sensitive health information.

For pdfFiller’s FAQs

How can I send this business associate agreement to be eSigned by others?

To distribute your this business associate agreement, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.

Can I create an eSignature for the this business associate agreement in Gmail?

Use pdfFiller's Gmail add-on to upload, type, or draw a signature. Your this business associate agreement and other papers may be signed using pdfFiller. Register for a free account to preserve signed papers and signatures.

How can I edit this business associate agreement on a smartphone?

The pdfFiller apps for iOS and Android smartphones are available in the Apple Store and Google Play Store. You may also get the program at https://edit-pdf-ios-android.pdffiller.com/. Open the web app, sign in, and start editing this business associate agreement.

What is this business associate agreement?

This business associate agreement is a contract between a covered entity and a business associate that outlines how protected health information will be handled.

Who is required to file this business associate agreement?

Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file a business associate agreement.

How to fill out this business associate agreement?

The business associate agreement should be filled out with all necessary information, including details about the responsibilities of both parties and how protected health information will be safeguarded.

What is the purpose of this business associate agreement?

The purpose of this business associate agreement is to ensure that protected health information is handled securely and in accordance with HIPAA regulations.

What information must be reported on this business associate agreement?

The business associate agreement should include details about the handling and safeguarding of protected health information, as well as the responsibilities of both parties.