Contact Persons and Submissions. A. Contact Persons CCG has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxx X. Xxxxxxxxxx, Esq. Shareholder Hall, Render, Killian, Heath, & Xxxxx Xxx Xxxxxxxx Xxxxxx, Xxxxx 0000 Xxxxxxxxxxxx, XX 00000 HHS has identified the following individual as its authorized representative and contact person with whom CCG is to report information regarding the implementation of this CAP:
Contact Persons and Submissions. A. Contact Person Advocate has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports (“Contact Person”): Xxxxx Xxxxxx Chief Privacy Officer Advocate Health Care 0000 Xxxxxxxx Xxxxxxx, Xxxxx 000 Xxxxxxx Xxxxx, Xxxxxxxx 00000 Telephone: 000-000-0000 Facsimile: (to be supplied) Email: xxxxx.xxxxxx@xxxxxxxxxxxxxx.xxx HHS has identified the following individual as its authorized representative and contact person with whom Advocate is to report information regarding the implementation of this CAP: Xxxxxx X. Xxxxxxxx Acting Regional Manager, U.S. Department of Health and Human Services Office for Civil Rights, Midwest Region 000 X. 00xx Xxxxxx, Xxxx 000 Xxxxxx Xxxx, Xxxxxxxx 00000 Xxxxxx.Xxxxxxxx@xxx.xxx Telephone: 000-000-0000 Facsimile: 000-000-0000 Advocate and HHS mutually agree to promptly notify each other of any changes in the contact person or other information provided above.
Contact Persons and Submissions. A. Contact Persons SEMC has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxxxxx X. Xxxxxxx Chief Administrative Officer St. Elizabeth’s Medical Center 000 Xxxxxxxxx Xxxxxx Xxxxxxxx, XX 00000 Xxxxxxx.Xxxxxxx@xxxxxxx.xxx Telephone: 000-000-0000 Facsimile: 000-000-0000 HHS has identified the following individual as its authorized representative and contact person with whom SEMC is to report information regarding the implementation of this CAP: Xx. Xxxxx X. Pezzullo Xxxxxx, Regional Manager Office for Civil Rights, Region I Department of Health and Human Services XXX Xxxxxxx Xxxxxxxx, Xxxx 0000 Xxxxxx, XX 00000 Xxxxx.Xxxxxx@xxx.xxx Telephone: 000-000-0000 Facsimile: 000-000-0000 SEMC and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above.
Contact Persons and Submissions. A. Compliance Representative as Contact Person 21CO shall designate an individual to serve as the Compliance Representative (“CR”). The CR shall be an individual who is knowledgeable about the HIPAA Rules and about the policies and practices of 21CO with respect to ePHI. The CR shall be responsible for assuring 21CO’s compliance with this Agreement and the CAP and for arranging for the provision of such assistance as 21CO may require to comply with the Agreement and the CAP, including, but not limited to, arranging for and/or providing policies, procedures, training and internal monitoring services, and including after resolution of 21CO’s bankruptcy. The CR, designated immediately below, shall also serve as the contact person on behalf of 21CO regarding the implementation of this CAP and for receipt and submission of notifications and reports: Name: Title: Address: Email: Office Phone: Cell Phone: Fax: HHS has identified the following individual as its authorized representative and contact person with whom 21CO is to report information regarding the implementation of this CAP: Xxxxxxx Xxxxxx, Regional Manager, Office for Civil Rights 00 Xxxxxxx Xx, Xxxxx 00X00 Atlanta, GA 30303-8909 Voice: (000) 000-0000 Fax: (000) 000-0000 Email: Xxxxxxx.Xxxxxx@xxx.xxx 21CO and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above.
Contact Persons and Submissions. A. Contact Persons BCBST has identified the following individuals as their authorized representatives and contact persons regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxx Xxxxxxxx, Esq. BlueCross BlueShield of Tennessee Deputy General Counsel/Chief Privacy Officer Legal, Governance and Privacy Xxx Xxxxxxx Xxxx Circle Chattanooga, TN 37402 Xxxx_Xxxxxxxx@XXXXX.xxx Telephone: 000-000-0000 Fax: 000-000-0000 HHS had identified the following individual as its authorized representative and contact person with whom BCBST is to report information regarding implementation of the CAP: Xxxxxxxxx Xxxxxxx Regional Manager U.S. Department of Health and Human Services Office for Civil Rights, Region IV 00 Xxxxxxx Xxxxxx, X.X., Xxxxx 00X00 xxxxxxxxx.xxxxxxx@xxx.xxx Xxxxxxx, Xxxxxxx 00000-0000 Telephone: 000-000-0000 Fax: 000-000-0000 BCBST and HHS mutually agree to promptly notify each other of any changes in the contact persons or other information provided above.
Contact Persons and Submissions. A. Contact Persons Aetna has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxxxx Xxxxxx, Vice President, Chief Privacy Officer Aetna Life Insurance Company 000 Xxxxxxxxxx Xxxxxx Xxxxxxxx, XX 00000 Telephone: 000-000-0000 Fax: 000-000-0000 Xxxxxxx@Xxxxx.xxx HHS has identified the following individual as its authorized representative and contact person with whom Aetna is to report information regarding the implementation of this CAP: Xxxxx X. Xxxxxxxx Xxxxxx Office for Civil Rights, New England Region U.S. Department of Health and Human Services XXX Xxxxxxx Xxxxxxxx, Xxxx 0000 Xxxxxx, XX 00000 Telephone: 000-000-0000 Fax: 000-000-0000 Aetna and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above.
Contact Persons and Submissions. A. Contact Persons CPT has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for the receipt and submission of notifications and reports: Xx. Xxxxx Xxxx Owner Complete Land and Physical Therapy 0000 Xxxxx Xxxxxx Xxx Xxxxxxx, XX 00000 HHS has identified the following individual as its contact person to whom CPT is to report information regarding implementation of this CAP: Mr. Xxxx Xxxxx Equal Opportunity Specialist Department of Health and Human Services Office for Civil Rights 00 0xx Xxxxxx, Xxxxx 0-000 Xxx Xxxxxxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 CPT and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above. Proof of Submissions. Unless otherwise specified, all notifications and reports required by this CAP may be made by any means, including certified mail, overnight mail, or hand delivery, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt.
Contact Persons and Submissions. A. Contact Persons CH has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxxx Xxxxxx Chief Compliance Officer xxxxxxxx@xxxx.xxx (000) 000-0000 HHS has identified the following individual as its authorized representative and contact person with whom CH is to report information regarding the implementation of this CAP: Xx. Xxxxx Xxxxxxxx, Equal Opportunity Specialist Department of Health and Human Services Office for Civil Rights 00 0xx Xxxxxx, Xxxxx 0-000 Xxx Xxxxxxxxx, Xxxxxxxxxx 00000-0000 CH and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above.
Contact Persons and Submissions. A. Contact Persons CHMC has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxx X. Sturdy, X.X., CHC, CHPC, CPCO Compliance Director and Privacy Director Children’s Hospital & Medical Center 0000 Xxxxx Xxxxxx Xxxxx, Xxxxxxxx 00000-0000 xxxxxxx@XxxxxxxxxXxxxx.xxx Telephone: (000) 000-0000 HHS has identified the following individual as its authorized representative and contact person with whom CHMC is to report information regarding the implementation of this CAP: Xxxxxx Xxxxxx, Regional Manager Office for Civil Rights, Rocky Mountain Region Department of Health and Human Services 0000 Xxxxx Xxxxxx, Room 08.148 Denver, Colorado 80294 Xxxxxx.Xxxxxx@xxx.xxx Telephone: (000) 000-0000 Facsimile: (000) 000-0000 CHMC and HHS agree to promptly notify each other of any changes in the contact person or the other information provided above.
Contact Persons and Submissions. A. Contact Persons ROC has identified the following individual as its authorized representative and contact person regarding the implementation of this CAP and for receipt and submission of notifications and reports: Xxxx Xxxxx Raleigh Orthopaedic Clinic, P.A. 0000 Xxxxxxxx Xxx Xxxxxxx, XX 00000 Voice: (000) 000-0000 HHS has identified the following individual as its authorized representative and contact person with whom ROC is to report information regarding the implementation of this CAP: Xxxxxxx Xxxxxx, Regional Manager, Office for Civil Rights 00 Xxxxxxx Xx, Xxxxx 00X00 Xxxxxxx, XX 00000-0000 Voice: (000) 000-0000 Fax: (000) 000-0000 ROC and HHS agree to promptly notify each other of any changes in the contact persons or the other information provided above.
