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ATTACHMENT E BUSINESS ASSOCIATE AGREEMENTS CONTRACTOR/GRANTEE/BUSINESS ASSOCIATE: ___ ___ SO CONTRACT NO. ___CONTRACT EFFECTIVE DATE: ___This Business Associate Agreement (Agreement) is entered into
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The wwwpdffillercom500905592--business-associate business associate agreement is a legal document used to establish the responsibilities and obligations of business associates who handle protected health information (PHI) on behalf of a covered entity.
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to have a business associate agreement in place with any third parties that handle PHI on their behalf.
To fill out the agreement, one must provide necessary details such as the names of the parties involved, a description of the services provided, the permissible uses and disclosures of PHI, and the terms for compliance and termination.
The purpose of the business associate agreement is to ensure that the business associate complies with HIPAA regulations regarding the use and protection of PHI, safeguarding the privacy rights of individuals.
The agreement must report the names of the covered entity and the business associate, the nature of the services provided, the types of PHI that will be shared, the rights and duties of each party, and breach notification procedures.
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