Common use of Designated Record Set Clause in Contracts

Designated Record Set. “Designated Record Set” means all records, including medical, enrollment, billing, payment, claims, and/or case management maintained by and/or for a Covered Entity.

Appears in 18 contracts

Samples: Standard Form Agreement, Contract Agreement, Standard Form Agreement

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Designated Record Set. “Designated Record Set” means all records, including medical, shall mean a group of records maintained by or for a Covered Entity that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, billing, payment, claimsclaims adjudication, and/or and case or medical management record systems maintained by and/or or for a Covered Entity.health plan; or

Appears in 7 contracts

Samples: Business Associate Agreement, Social Services Agreement, Business Associate Agreement

Designated Record Set. “Designated Record Set” means all records, including medical, enrollment, billing, payment, claims, and/or case management a group of records maintained by and/or or for a Covered Entity, that is: the medical and billing records about Individuals maintained by or for a covered health care provider; the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or Used in whole or part by or for the Covered Entity to make decisions about Individuals.

Appears in 4 contracts

Samples: Business Associate Agreement, Provider Contract, Provider Contract

Designated Record Set. “Designated Record Set” means all records, including medical, shall mean a group of records maintained by or for the Covered Entity that is the medical records and billing records of individuals maintained by or for the Covered Entity; and the enrollment, billing, payment, claims, and/or adjudication, and case or medical management record systems maintained by and/or or for a the Covered Entity, or used, in whole or in part, by or for the Covered Entity to make decisions about individuals.

Appears in 2 contracts

Samples: Business Associate Agreement, Business Associate Agreement

Designated Record Set. “Designated Record Set” means all recordsshall mean a group of records maintained by or for the Covered Entity that is (i) the medical records and billing records about individuals maintained by or for the Covered Entity, including medical, (ii) the enrollment, billing, payment, claimsclaims adjudication, and/or and case or medical management record systems maintained by and/or or for a health plan; or (iii) used, in whole or in part, by or for the Covered Entity.Entity to make decisions about individuals. As used herein the term “Record” means any item, collection, or grouping of information that includes

Appears in 2 contracts

Samples: Business Associate Addendum, Business Associate Addendum

Designated Record Set. Designated Record Set” means all records, including medicalSet shall have the same meaning given to such term under 45 CFR § 164.501 and shall mean a group of records maintained by or for the Covered Entity that is the payment, enrollment, billing, payment, claims, and/or claims adjudication and case or health management record systems maintained by and/or or for a the Covered Entity, or used, in whole or in part, by or for the Covered Entity, to make decisions about Individuals.

Appears in 2 contracts

Samples: Third Party Administration Services Contract, Third Party Administration Services Contract

Designated Record Set. “Designated Record Set” means all records, including medical, enrollment, billing, payment, claims, and/or case management shall mean a group of records maintained by and/or or for a Covered Entity that is (i) the medical records and billing records about individuals maintained by or for a covered health care Covered Entity.;

Appears in 1 contract

Samples: Business Associate Agreement

Designated Record Set. The term "Designated Record Set” means all records, including medical, enrollment, billing, payment, claims, and/or case management " shall mean a group of records maintained by and/or Business Associate for a Covered Entity that is: (a) the medical records about Individuals maintained by or for a covered health care provider, or (b) used in whole or in part, by or for a Covered Entity to make decisions about Individuals. For these purposes, the term "record" means any item, collection, or grouping of information that includes Protected Health Information (PHI) and is maintained, collected, used, or disseminated by or for a Covered Entity.

Appears in 1 contract

Samples: Multi Purpose Agreement

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Designated Record Set. Designated Record Set" means all records, including medical, enrollment, billing, payment, claims, and/or case management a group of records maintained by and/or or for a Covered Entity, that is: the medical and billing records about Individuals maintained by or for a covered health care provider; the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or Used in whole or part by or for the Covered Entity to make decisions about Individuals.

Appears in 1 contract

Samples: Professional Services Agreement

Designated Record Set. “Designated Record Set” means all records, including medical, shall mean: (i) enrollment, billing, payment, claimsclaims adjudication, and/or and case or medical management records systems maintained by and/or or for a Covered Entity; or (ii) used, in whole or in part, by or for Covered Entity to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection or grouping of information that includes PHI and is maintained, collected, used or disseminated by or for Covered Entity.

Appears in 1 contract

Samples: Subcontractor Business Associate Agreement

Designated Record Set. “Designated Record Set” means all records, including medical, enrollment, billing, payment, claims, and/or case management shall mean a group of records maintained by and/or or for a Covered EntityEntity that is medical and billing records about individuals, or is used in whole or in part, by Covered Entity to make decisions about individuals. See 45 CFR 164.501.

Appears in 1 contract

Samples: Business Associate Agreement

Designated Record Set. “Designated Record Set” means all records, including medical, shall mean a group of records maintained by or for a Covered Entity that are (i) the medical records and billing records about Individuals maintained by or for a covered Health Care Provider; (ii) the enrollment, billing, payment, claimsclaims adjudication, and/or and case or medical management record systems maintained by and/or or for a Health Plan; or (iii) used, in whole or in part, by or for the Covered Entity to make maintained, collected, used, or disseminated by or for the Covered Entity.

Appears in 1 contract

Samples: Payer Participation Agreement

Designated Record Set. The Designated Record Set” means all Set is defined as the group of records maintained by or for the covered entity, which may include patients’ medical and billing records, including medical, enrollment, billingpayment and claims records, payment, claims, and/or case management maintained by and/or for a Covered Entityand information used in whole or in part to make decisions about patients’ services and health care. Such record set will include individually identifiable health information in paper or electronic media format.

Appears in 1 contract

Samples: Business Associate Agreement

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