Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.
Appears in 5 contracts
Samples: Business Associate Agreement, Business Associate Agreement, Producer Agreement
Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.such
Appears in 1 contract
Samples: Business Associate Agreement
Data Regarding Disclosures. For each Disclosure disclosure for which it is required to keep a record under paragraph 7(a8(a), Business Associate will record and maintain the following information: :
(1) the The date of Disclosure; disclosure;
(2) the The name of the entity or person who received the PHI and PHI, and, the address of such entity or person, if known; .
(3) a A description of the PHI Discloseddisclosed; and and
(4) a A brief statement of the purpose of the Disclosuredisclosure.
Appears in 1 contract
Samples: Service Agreement
Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: :
(1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.
Appears in 1 contract
Samples: Business Associate Agreement
Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.;
Appears in 1 contract
Samples: Professional Services
Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(a), Business Associate will record and maintain the following information: :
(1i) the date of Disclosure; (2ii) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3iii) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.and
Appears in 1 contract
Data Regarding Disclosures. For each Disclosure for which it is required to keep a record under paragraph 7(aSection 2(h)(i), Business Associate will record and maintain the following information: (1) the date of Disclosure; (2) the name of the entity or person who received the PHI and the address of such entity or person, if known; (3) a description of the PHI Disclosed; and (4) a brief statement of the purpose of the Disclosure.
Appears in 1 contract
Samples: Independent Contractor Agreement
Data Regarding Disclosures. For each Disclosure disclosure for which it is required to keep a record under paragraph 7(a7(1), Business Associate will record and maintain the following information: :
(1a) the The date of Disclosure; disclosure;
(2b) the The name of the entity or person who received the PHI and PHI, and, the address of such entity or person, if known; .
(3c) a A description of the PHI Discloseddisclosed; and and
(4d) a A brief statement of the purpose of the Disclosuredisclosure.
Appears in 1 contract
Samples: Master Membership Agreement