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BUSINESS ASSOCIATE AGREEMENT ANUDĀTTA USE AGREEMENT FOR LIMITED DATA SETT his Business Associate and Data Use Agreement for a Limited Data Set (“Agreement “) is entered into by and between Emory
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How to fill out this business associate and

01
To fill out this business associate, follow these steps:
02
Start by providing the name and contact information of the business associate.
03
Next, specify the services or activities that the business associate will be engaged in.
04
Indicate any subcontractors or agents that will be used by the business associate.
05
Describe the purpose of the arrangement between your organization and the business associate.
06
Provide details on how protected health information (PHI) will be used, disclosed, and safeguarded.
07
Mention any additional obligations or responsibilities of the business associate.
08
Finally, have both parties sign and date the business associate agreement to make it legally binding.

Who needs this business associate and?

01
This business associate agreement is needed by covered entities under the Health Insurance Portability and Accountability Act (HIPAA).
02
Covered entities include healthcare providers, health plans, and healthcare clearinghouses that handle protected health information (PHI).
03
They require business associates to ensure that PHI is properly safeguarded and used in compliance with HIPAA regulations.

What is This Business Associate and Data Use Agreement for a Limited Data Set ("Agreement") is entered into by and between Emory University, through its School of Medicine ("Business Associate") and ("Covered Entity") on the d Form?

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A business associate is a person or entity that performs certain functions or activities on behalf of a covered entity that involves the use or disclosure of protected health information (PHI).
Covered entities such as health care providers, health plans, and health care clearinghouses that handle protected health information must file this business associate.
To fill out this business associate, you need to provide relevant details such as the name of the business associate, their role, the type of services they provide, and compliance assurances regarding the handling of PHI.
The purpose of this business associate is to ensure that entities that handle PHI maintain compliance with privacy regulations and protect sensitive information.
Information that must be reported includes the business associate's name and address, the nature of the services provided, assurances of compliance with applicable laws, and any agreements regarding the handling of PHI.
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