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EXHIBIT E BUSINESS ASSOCIATE ADDENDUM This Business Associate Addendum is entered into to address the privacy and security protections for certain information as required by federal law. City and
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Obtain a copy of the business associate addendum from the appropriate source.
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Read the addendum carefully to understand its terms and conditions.
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Gather all necessary information and documents related to the business associate relationship.
04
Fill out the addendum by providing accurate and complete information in each section.
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Sign the addendum and have it countersigned by the other party involved in the business associate agreement.
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Keep a copy of the fully executed addendum for your records.

Who needs this business associate addendum?

01
Any individual, organization, or entity entering into a business associate relationship with a covered entity under HIPAA (Health Insurance Portability and Accountability Act) needs this business associate addendum.
02
This includes healthcare providers, health plans, healthcare clearinghouses, and any other entity that handles protected health information (PHI) on behalf of a covered entity.
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The business associate addendum is a legal contract that outlines the responsibilities of a business associate when handling protected health information (PHI) on behalf of a covered entity.
Business associates who handle PHI on behalf of covered entities are required to file this business associate addendum.
The business associate addendum should be filled out by providing all required information, signatures, and dates as outlined in the document.
The purpose of the business associate addendum is to ensure that business associates protect the confidentiality and security of PHI in compliance with HIPAA regulations.
Information such as the names of the covered entity and business associate, the type of PHI being disclosed, and the permitted uses and disclosures of PHI must be reported on the business associate addendum.
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