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HHS.gov. S. Department of Health & Human ServicesHealth Information PrivacyBusiness Associate Listing Sample Template
Phase 2 Audits: Request for Business Associate Listing
Selected auditees will
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How to fill out business associate listing
How to fill out business associate listing
01
Gather all necessary information about the business associates
02
Access the business associate listing form
03
Fill out each field accurately with the required information
04
Review the completed form for accuracy and completeness
05
Submit the form according to the specified submission process
Who needs business associate listing?
01
Healthcare organizations that handle protected health information (PHI)
02
Businesses that provide services to healthcare organizations and have access to PHI
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What is business associate listing?
Business associate listing is a record of all individuals or entities that are considered business associates under HIPAA.
Who is required to file business associate listing?
Covered entities under HIPAA are required to file business associate listing.
How to fill out business associate listing?
Business associate listing can be filled out by providing the required information about each business associate, such as their contact information and services provided.
What is the purpose of business associate listing?
The purpose of business associate listing is to maintain a record of all business associates who handle protected health information.
What information must be reported on business associate listing?
Information such as business associate name, contact information, services provided, and any agreements in place must be reported on business associate listing.
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