WA Office Ally Business Associate Agreement 2018 free printable template

BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (Agreement) by and between (hereinafter known as Covered Entity) and One Ally, Inc., a clearinghouse Covered Entity under HIPAA, providing

How to fill out WA Office Ally Business Associate Agreement

How to fill out WA Office Ally Business Associate Agreement

1. Review the agreement carefully to understand its terms and conditions.
2. Fill in the date at the top of the document.
3. Enter the name of the business or individual that will be acting as the business associate.
4. Provide the contact information, including address, phone number, and email of the business associate.
5. Fill in the name and contact information of the covered entity (the organization you are working with).
6. Specify the services to be provided by the business associate that necessitate the agreement.
7. Include any additional provisions or terms that are relevant to the specific agreement.
8. Ensure all parties understand their obligations under the agreement.
9. Sign and date the agreement to make it legally binding.
10. Keep a copy of the signed agreement for your records.

Who needs WA Office Ally Business Associate Agreement?

1. Covered entities that handle protected health information (PHI) and need to engage third-party vendors or individuals to perform services involving PHI.
2. Healthcare providers, health plans, or healthcare clearinghouses that work with business associates for processing or handling PHI.
3. Business associates that require access to PHI in order to provide services to covered entities.

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What is WA Office Ally Business Associate Agreement?

The WA Office Ally Business Associate Agreement is a formal contract that establishes a relationship between a healthcare provider and a business associate, defining the use and protection of protected health information (PHI) in compliance with HIPAA regulations.

Who is required to file WA Office Ally Business Associate Agreement?

Healthcare providers, health plans, and any other entities that handle PHI in partnership with Office Ally are required to file the WA Office Ally Business Associate Agreement.

How to fill out WA Office Ally Business Associate Agreement?

To fill out the WA Office Ally Business Associate Agreement, provide the necessary details about the involved parties, specify the scope of services, outline the handling of PHI, and ensure the document is signed by authorized representatives from both parties.

What is the purpose of WA Office Ally Business Associate Agreement?

The purpose of the WA Office Ally Business Associate Agreement is to ensure that business associates comply with HIPAA regulations when managing PHI and to define the responsibilities and liabilities of the parties involved.

What information must be reported on WA Office Ally Business Associate Agreement?

The WA Office Ally Business Associate Agreement must report information such as the names and addresses of the parties, a description of the services provided, terms of PHI use and protection, and the legal obligations of both parties regarding PHI.