Business Associate Sample Contracts

Department of Health Care Policy and Financing Contract with
Business Associate • September 11th, 2017

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES EXHIBIT E, COVERED BEHAVIORAL HEALTH PROCEDURE CODES EXHIBIT F, COMBINED CORE COMPETENCIES

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Contract
Business Associate • August 22nd, 2011

This Business Associate Addendum, effective April 1, 2003, is entered into March 1, 2011 by and between Guilford County and/or Guilford County Department of Social Services and/or Guilford County Department of Public Health (“Covered Entity”) Guilford County Schools (“Business Associates”).

BUSINESS ASSOCIATE SUBCONTRACTOR AGREEMENT
Business Associate • September 16th, 2020

This Business Associate Subcontractor Agreement (“Agreement”) is made effective ________________ by and between Broker/Consultant Name (“Business Associate”) and Vendor Name (“Business Associate Subcontractor”).

Business Associate Addendum
Business Associate • October 28th, 2020

This Business Associate Addendum (“Addendum”) supplements and is made a part of the PatientNOW Master Service Agreement (the “Agreement”) by and between the individual/company identified in the Bill To portion of the Order Form and Patient NOW, Inc., a Colorado corporation with offices at 6160 S. Syracuse Way, STE B-100, Greenwood Village, CO 80111 (“PatientNOW”), of even date herewith (together, the “Parties”). PatientNOW and Covered Entity may be referred to individually as a “Party” or collectively as the “Parties.”

BUSINESS ASSOCIATE ADDENDUM
Business Associate • January 17th, 2021

This Business Associate Addendum (“Addendum”) is entered into by and between Deloitte Consulting, L.L.P. (“Deloitte”) and the State of Wisconsin Department of Employee Trust Funds Board (“BOARD”), attached to the Wisconsin Department of Employee Trust Funds (“ETF”), the administrator for the State of Wisconsin Group Health Insurance Plans (“PLANS”) on behalf of the State of Wisconsin.

BUSINESS ASSOCIATE PRIVACY AND SECURITY ADDENDUM
Business Associate • April 15th, 2020

This Business Associate Addendum (“Addendum”), effective ____________, 20__ (“Effective Date”), is entered into by and between University of Southern California, ___________________________ (“University”) and ____________________________ (“Vendor”). Capitalized terms used in this Addendum without definition shall have the respective meanings assigned to such terms by the Administrative Simplification section of the Health Insurance Portability and Accountability Act and their implementing regulations as each may be amended from time to time (collectively, “HIPAA”).

Business Associate Addendum
Business Associate • December 2nd, 2016

This Business Associate Addendum (“Addendum”) supplements and is made a part of the Underlying Agreement (as defined below) by and between the Merge Customer as identified on the applicable Sales Order and/or other Underlying Agreement (“Customer”) and Merge Healthcare Solutions Inc., an IBM Company (“Business Associate”). Business Associate and Customer may be referred to individually as a “Party” or collectively as the “Parties.”

BUSINESS ASSOCIATE ADDENDUM
Business Associate • January 16th, 2021

This Business Associate Addendum (“Addendum”) is entered into by and between Gabriel, Roeder, Smith & Company. (“GRS”) and the State of Wisconsin Department of Employee Trust Funds Board (“BOARD”), attached to the Wisconsin Department of Employee Trust Funds (“ETF”), on behalf of the State of Wisconsin.

BUSINESS ASSOCIATE AND DATA USE AGREEMENTBETWEEN THE QUALITY CORP AND DATA SERVICES VENDOR
Business Associate • February 21st, 2014

by and between Oregon Health Care Quality Corp (“Quality Corp”) and _ (“Data Services Vendor”) (individually, a “Party” and, collectively, the Parties”).

BUSINESS ASSOCIATE ADDENDUM
Business Associate • May 5th, 2020

This Business Associate Addendum (“Addendum”) is by and between Blue Cross and Blue Shield United of Wisconsin (“Business Associate”) and State of Wisconsin Group Insurance Board (“BOARD”) attached to the Wisconsin Department of Employee Trust Funds (DETF), the administrator for the State of Wisconsin group health insurance plan(s) (“PLANS”), and acting on behalf of the State of Wisconsin.

PRIVACY ADDENDUM
Business Associate • October 10th, 2020

This PRIVACY ADDENDUM (this “Addendum”) is effective this [insert day] day of [insert month, year] (the “Effective Date”), by and between The Cambridge Public Health Commission d/b/a the Cambridge Health Alliance, a public entity and Health Care Provider (the “Covered Entity”), and [Insert Vendor Name] a Business Associate (the “Vendor”).

BUSINESS ASSOCIATE ADDENDUM TO ADMINISTRATIVE SERVICES ONLY AGREEMENT
Business Associate • July 26th, 2018

This addendum (“Addendum”) is effective upon execution, and amends and is made a part of that Administrative Services Only Agreement (“ASO Agreement”) dated as of , 20 , by and among Blue Cross of Idaho Health Service, Inc. (“Claim Administrator”);

Business Associate Contract
Business Associate • July 24th, 2006

This Business Associate Contract (the “Contract”) is entered into by and between Premier Access Insurance Company (“Health Plan”)

BUSINESS ASSOCIATE and QUALIFIED SERVICE ORGANIZATION AGREEMENT
Business Associate • June 18th, 2021 • Delaware

This Business Associate Agreement and Qualified Service Organization Agreement (“BAA/QSOA”) is entered into this _____ day of __________________, 20____ (“Effective Date”), by and between the Delaware Health Information Network (“DHIN”), a statutory instrumentality of the State of Delaware (“Business Associate”), and [Covered Entity Name], [Covered Entity Organization Type] (“Covered Entity”) (collectively, the “Parties”).

Department of Health Care Policy and Financing Intergovernmental Agreement with
Business Associate • September 11th, 2017

EXHIBIT E, DISPROPORTIONATE SHARE AND GRADUATE MEDICAL EDUCATION HOSPITAL REPORTING BY CALENDAR YEAR QUARTER EXHIBIT F, MEMBER HANDBOOK REQUIREMENTS

Junction Concepts - QBench LIMS Business Associate Addendum
Business Associate • January 14th, 2022

This Business Associate Addendum ("BAA") is entered into between Junction Concepts ("Company") and the customer agreeing to the terms below ("Customer"), and supplements, amends and is incorporated into the SaaS Services Agreement (“Services Agreement”). This BAA will be effective as of the later date of the two dated signatures below after both parties have signed (the

BUSINESS ASSOCIATE PRIVACY AGREEMENT
Business Associate • October 19th, 2020

This Agreement is made and entered into as of the _____ day of ____________, 2010, ("Agreement") by and between the Georgia Regents University("GRU") and, ___________, ("Contractor") (each a "Party" and collectively the "Parties").

Interagency Memorandum of Understanding
Business Associate • June 15th, 2005

The parties to this Business Associate Interagency Memorandum of Understanding (“MOU”) are the Colorado Department of Health Care Policy and Financing (“HCPF,” “Covered Entity” or “CE”) and the Colorado Department of Public Health and Environment (“CDPHE”, “Contractor,” “or “Associate”) as per Interagency Agreement Number 2105-2007. This MOU is effective as of July 1, 2004 (the “MOU Effective Date”).

Business Associate Addendum
Business Associate • November 10th, 2020

This Addendum, dated as of , 2015 (“Addendum”), supplements and is made a part of the Nuclear Cardiology Services Agreement (as defined below) by and between (the “Covered Entity”) and Cardiac Imaging, Inc. (the “Business Associate”).

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