COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. The Contractor shall comply with each applicable requirement of 45 C.F.R. Part 162 if the Contractor conducts standard transactions, as that term is defined in HIPAA, for or on behalf of the Department.
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If the Business Associate conducts any Standard Transaction for, or on behalf of, a Covered Entity, the Business Associate shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulation. The Business Associate shall not enter into, or permit its subcontractors or agents to enter into, any Agreement in connection with the conduct of Standard Transactions for, or on behalf of, Covered Entity that:
a. Changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard;
b. Adds any Health Information elements or segments to the maximum defined Health Information Set;
c. Uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specification(s); or
d. Changes the meaning or intent of the Standard’s Implementation Specification(s).
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If the Business Associate conducts any Standard Transaction for, or on behalf of, a Covered Entity, the Business Associate shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162, of the Code of Federal Regulation. The Business Associate shall not enter into, or permit its subcontractors or agents to enter into, any Agreement in connection with the conduct of Standard Transactions for, or on behalf of, Covered Entity that: Changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard; Adds any Health Information elements or segments to the maximum defined Health Information Set; Uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specifications(s); or Changes the meaning or intent of the Standard’s Implementations Specification(s).
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If Business Associate conducts any Standard Transaction for, or on behalf, of Metro, Business Associate shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulations. Business Associate shall not enter into, or permit its subcontractor or agents to enter into, any Agreement in connection with the conduct of Standard Transactions for or on behalf of Metro that:
(i) Changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard;
(ii) Adds any Health Information elements or segments to the maximum defined Health Information Set;
(iii) Uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specifications(s); or
(iv) Changes the meaning or intent of the Standard’s Implementations Specification(s).
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If Business Associate conducts any Standard Transaction for, or on behalf, of Covered Entity, Business Associate shall comply, and shall require any Subcontractor conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulation. Business Associate shall not enter into, or permit its Subcontractors to enter into, any Agreement in connection with the conduct of Standard Transactions for or on behalf of Covered Entity that:
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If Business Associate conducts any Standard Transaction as defined in 45 CFR §164.504 on behalf of the Covered Entity within the named programs, Business Associate shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulations. Business Associate shall not enter into, or permit its subcontractors or agents to enter into, any agreement in connection with the conduct of Standard Transactions for or on behalf of the Covered Entity that:
a. changes the definition, data condition, or use of a data element or segment in a standard Implementation Specification; or
b. adds any data elements or segments to the Maximum Defined Data Set; or
c. uses any code or data elements that are either marked “not used” in the standard’s Implementation Specification(s) or are not in the standard’s Implementation Specifications(s); or
d. changes the meaning or intent of the standard’s Implementations Specification(s). Business Associate agrees to comply with all provisions of the HIPAA Standards for Electronic Transactions rules regarding additional requirements for health plans [if it is determined that the Covered Entity is a Health Plan] as set forth in CFR §162.925 as follows:
a. General rules.
(i) if an entity requests the Business Associate to conduct a Transaction as a standard Transaction, the
(ii) the Business Associate may not delay or reject a Transaction, or attempt to adversely affect the other entity or the Transaction, because the Transaction is a standard Transaction.
(iii) the Business Associate may not reject a standard Transaction on the basis that it contains data elements not needed or used by the Business Associate (for example, coordination of benefits information).
(iv) the Business Associate may not offer an incentive for a health care provider to conduct a Transaction covered by this part as a Transaction described under the exception provided for in CFR 45 §162.923(b).
(v) the Business Associate that operates as a health care clearinghouse, or requires an entity to use a health care clearinghouse to receive, process, or transmit a standard Transaction may not charge fees or costs in excess of the fees or costs for normal telecommunications that the entity incurs when it directly transmits, or receives, a standard transaction to, or from, the Business Associate.
b. Coordination of benefits. If the Business Associate receive...
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. Business Associate agrees that, in the event the Service’s include Business Associate conducting any Standard Transaction for, or on behalf, of McLaren, Business Associate will comply, and will require any agent or Subcontractor conducting such Standard Transaction to comply, with each applicable requirement of 45 C.F.R. Part 162. Business Associate will not enter into, or permit its agents or Subcontractors to enter into, any agreement in connection with the conduct of Standard Transactions for or on behalf of McLaren that (a) changes the definition, health information condition, or use of a health information element or segment in a Standard; (b) adds any health information elements or segments to the maximum defined health information set; (c) uses any code or health information elements that are either marked ‘not used’ in the standard’s implementation specification(s) or are not in the standard’s implementation specification(s); or (d) changes the meaning or intent of the standard’s implementation specification(s). It will be McLaren’s responsibility to ensure that appropriate Code Sets are used in the coding of services and supplies.
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If CONTRACTOR conducts any Standard Transaction for, or on behalf, of Waukesha County, CONTRACTOR shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulation. CONTRACTOR shall not enter into, or permit its subcontractors or agents to enter into, any Agreement in connection with the conduct of Standard Transactions for or on behalf of Waukesha County that:
a. changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard;
b. adds any Health Information elements or segments to the maximum defined Health Information Set;
c. uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specifications(s); or
d. changes the meaning or intent of the Standard’s Implementations Specification(s).
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If BA conducts any Standard Transaction for, or on behalf, of CE, BA shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulation. BA shall not enter into, or permit its subcontractors or agents to enter into, any Agreement in connection with the conduct of Standard Transactions for or on behalf of CE that:
a) Changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard;
b) Adds any Health Information elements or segments to the maximum defined Health Information Set;
c) Uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specifications(s); or
d) Changes the meaning or intent of the Standard’s Implementations Specification(s).
COMPLIANCE WITH ELECTRONIC TRANSACTIONS AND CODE SET STANDARDS. If Contractor conducts any Standard Transaction for, or on behalf, of City, Contractor shall comply, and shall require any subcontractor or agent conducting such Standard Transaction to comply, with each applicable requirement of Title 45, Part 162 of the Code of Federal Regulation. Contractor shall not enter into, or permit its subcontractors or agents to enter into, any agreement in connection with the conduct of Standard Transactions for or on behalf of City that:
a. Changes the definition, Health Information condition, or use of a Health Information element or segment in a Standard.
b. Adds any Health Information elements or segments to the maximum defined Health Information Set.
c. Uses any code or Health Information elements that are either marked “not used” in the Standard’s Implementation Specification(s) or are not in the Standard’s Implementation Specifications(s).
d. Changes the meaning or intent of the Standard’s Implementations Specification(s).
