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ATTACHMENT 3B
UNIVERSITY BUSINESS ASSOCIATE AGREEMENT
(UNIT AS THE BUSINESS ASSOCIATE)
BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement (Agreement) is entered into by and
between
(Covered
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How to fill out university business associate agreement

How to fill out university business associate agreement
01
Review the university business associate agreement (BAA) form provided by the university.
02
Familiarize yourself with the terms and requirements of the BAA.
03
Gather the necessary information and documentation required for the BAA.
04
Fill out the BAA form accurately and completely, providing all requested information.
05
Ensure that all required signatures are obtained from both the university and your organization.
06
Double-check your filled out BAA form for any errors or missing information.
07
Submit the completed BAA form to the university according to their submission instructions.
08
Keep a copy of the filled out BAA form for your records in case of future reference or audits.
Who needs university business associate agreement?
01
Anyone who is a business associate of a university and handles protected health information (PHI) needs a university business associate agreement.
02
This includes individuals or organizations that provide services or support to the university and require access to PHI for performing their duties.
03
Examples of entities that may need a university business associate agreement include healthcare providers, insurance companies, IT support companies, and research organizations.
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What is university business associate agreement?
A university business associate agreement is a contract between a university and a third party that will have access to the university's protected health information.
Who is required to file university business associate agreement?
Any third party that will have access to the university's protected health information is required to file a university business associate agreement.
How to fill out university business associate agreement?
The agreement should be filled out by both parties involved, detailing the responsibilities and obligations regarding the protection of the university's protected health information.
What is the purpose of university business associate agreement?
The purpose of the agreement is to ensure that the third party will protect the university's protected health information in accordance with HIPAA regulations.
What information must be reported on university business associate agreement?
The agreement should include details on how the third party will safeguard the university's protected health information, as well as procedures for reporting any breaches.
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