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Title:Reference Number:
Affiliated Covered Entity Designation PolicySignature:HQ 5.2.29
Effective Date:Chief Compliance Officer
Approved by:3/13/2019
Page #:Executive Compliance Committee
Health Quest
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How to fill out affiliated covered entity designation
How to fill out affiliated covered entity designation
01
To fill out affiliated covered entity designation, follow these steps:
02
Determine if your organization qualifies as a covered entity under HIPAA regulations.
03
Gather all the necessary information about your organization, such as its name, contact information, and federal tax ID number.
04
Access the official HIPAA website or contact the Department of Health and Human Services (HHS) for the affiliated covered entity designation form.
05
Fill out the form accurately and provide all the required information.
06
Submit the completed form to the designated HHS office or follow the submission instructions provided with the form.
07
Wait for confirmation or further instructions from HHS regarding your affiliated covered entity designation.
Who needs affiliated covered entity designation?
01
Organizations that meet the criteria for covered entities under HIPAA regulations may need affiliated covered entity designation.
02
These organizations typically include healthcare providers, health plans, and healthcare clearinghouses.
03
Additionally, business associates or subcontractors that handle protected health information (PHI) on behalf of covered entities may also require affiliated covered entity designation.
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What is affiliated covered entity designation?
Affiliated covered entity designation is a designation given to a group of covered entities that are affiliated with each other.
Who is required to file affiliated covered entity designation?
Any group of covered entities that are affiliated with each other is required to file affiliated covered entity designation.
How to fill out affiliated covered entity designation?
Affiliated covered entity designation can be filled out by providing information about the affiliated covered entities and their relationship.
What is the purpose of affiliated covered entity designation?
The purpose of affiliated covered entity designation is to identify groups of covered entities that are affiliated with each other.
What information must be reported on affiliated covered entity designation?
The affiliated covered entity designation must include information about the covered entities in the group and their relationship.
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