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2016-116-E Tax - ZirMed Inc. - elec. submission of patient claims, other ancillary EDI services, in-house ambulance billing & collection
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2016-116-E Tax - ZirMed Inc. - elec. submission of patient claims, other ancillary EDI services, in-house ambulance billing & collection
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Last modified
12/18/2018 9:22:11 AM
Creation date
1/19/2016 11:36:16 AM
Metadata
Fields
Template:
Contract
Date
12/23/2015
Contract Starting Date
1/1/2016
Contract Ending Date
12/31/2017
Contract Document Type
Contract
Amount
$9,400.00
Document Relationships
2016-200-E Tax - ZirMed Inc. for additional service for existing contract 2016-116-E
(Linked From)
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2016
R 2016-116-E Tax - ZirMed Inc. - electronic submission of patient claims and ancillary EDI services for in-house ambulance billing - collections
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:90B9D659-590B-40CA-85C6-4FA2FEE9lF35 <br /> Z` <br /> I I I I I`1 11ulululul iq 1,111 <br /> '9616 NE E) <br /> the term of the Services Agreement in conformance with the HIPAA Regulations. <br /> e. Reporting Unauthorized Uses and Disclosures. Business Associate agrees to notify Covered Entity of a <br /> Breach of Unsecured PHI discovered by Business Associate. Such notice must: (i)be made promptly, but in no <br /> event later than fifteen(15)days from the date Business Associate discovers the Breach; (ii)contain a <br /> description of what happened; (iii)the date of the Breach and date of Discovery; (iv)a description of the types of <br /> Unsecured PHI involved in the Breach; (v)the steps the Individuals should take to protect themselves from <br /> potential harm resulting from the Breach; (vi)a brief description of what Business Associate is doing or will do to <br /> investigate the Breach, mitigate losses, and protect against any further Breaches; and (vii)the contact <br /> information and procedures for Individuals to obtain additional information. <br /> f.Access to Information. Business Associate shall provide access to PHI maintained in a Designated Record Set <br /> to Covered Entity or an Individual within fifteen(15)days of a written request from Covered Entity at Business <br /> Associate's offices during normal business hours. Business Associate, its agents and subcontractors shall <br /> respond to such request in a manner and time frame specified herein in order that Covered Entity may comply <br /> with the HIPAA Regulations. <br /> g.Access to Books and Records. Business Associate shall make its internal practices, books and records <br /> relating to the PHI created, maintained, transmitted or received by Business Associate on behalf of Covered <br /> Entity available to Covered Entity and the Secretary of the Department of Health and Human Services <br /> ("Secretary")for the purpose of determining Covered Entity's compliance with the HIPAA Regulations and the <br /> terms of this Addendum.A request for access by Covered Entity under this Section 2.g.shall be granted upon <br /> fifteen(15)days prior written notice, and conducted at Business Associate's offices during normal business <br /> hours. <br /> In.Availability of PHI for Amendment. Business Associate agrees to make any amendment(s)to PHI maintained <br /> in a Designated Record Set that Covered Entity directs or agrees to pursuant to 45 C.F.R. §164.526 within thirty <br /> (30)days after receipt of a written direction from Covered Entity. <br /> i.Accounting of Disclosures. Upon Covered Entity's written request, Business Associate shall make available an <br /> accounting of disclosures of PHI made by Business Associate for which Covered Entity is required to provide <br /> such accounting of disclosures under HIPAA. <br /> j. Data Aggregation Service. Business Associate may use or disclose PHI to provide Data Aggregation Services, <br /> as that term is defined by 45 C.F.R. §164.501, relating to its health care operations. <br /> 3. Duties and Obligations of Covered Entity. <br /> a. Privacy Notice. Covered Entity shall inform Business Associate of any changes,or limitations, in the Notice of <br /> Privacy Practices("Privacy Notice")of Covered Entity, and provide Business Associate with a copy of the Privacy <br /> Notice in effect. <br /> b. Restrictions of Use or Disclosure of PHI. Covered Entity shall inform Business Associate of any restrictions on <br /> the use or disclosure of PHI requested by Individuals, including any changes to or revocation of such restriction. <br /> c. No Impermissible Requests. Covered Entity shall not request that Business Associate use or disclose PHI in <br /> any manner that would not be permissible under the HIPAA Regulations if done by Covered Entity, except as <br /> permitted in Section 2 above. <br /> 4. Term and Termination. <br /> a. Term. The term of this Addendum shall be effective and terminate upon the effective and termination date of <br /> the Services Agreement. Upon said termination, Business Associate shall return or destroy, as the case may be, <br /> PHI to Covered Entity in accordance with Section 4.d. below. <br /> b. Material Breach. If Covered Entity determines that Business Associate has breached a material term of this <br /> Addendum, Covered Entity may provide notice of such breach to Business Associate and afford Business <br /> Associate an opportunity to cure the alleged material breach within the time period allowed by the Services <br /> Agreement for cure of material breaches of its terms. If Business Associate fails to cure such breach within the <br /> time period allowed by the Services Agreement, Covered Entity may terminate this Addendum and the Services <br /> The information contained in this document is intended for the recipient and is considered confidential information. III RIVED <br /> 14 <br />
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