P H YS I C I ANSBusiness Associate and Confidentiality Agreement • March 12th, 2021 • Indiana
Learn more at phpni.com Physicians Health Plan of Northern IndianaPHP Management Systems, Inc. 8101 West Jefferson Blvd. Fort Wayne, IN 46804-4163 Phone: 260-432-6690 To l l Free: 1-800-982-6257 Fax: 260-432-0493
CORPORATE BROKERBusiness Associate and Confidentiality Agreement • October 15th, 2019 • Indiana
Attached you will find the documents necessary for your agency to become contracted with Physicians Health Plan of Northern Indiana, Inc. (PHPNI). Please complete the following:
BUSINESS ASSOCIATE AND CONFIDENTIALITY AGREEMENTBusiness Associate and Confidentiality Agreement • November 2nd, 2022
Customer (“Covered Entity”) and eVisit, LLC (“eVisit” or “Business Associate”) hereby enter into this Business Associate And Confidentiality Agreement (“BAA”).
