Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1) the disclosure date, (2) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4) a brief statement of the purpose of the disclosure.
Appears in 9 contracts
Samples: Business Associate Agreement, Business Associate Agreement, Cardholder Agreement
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 4 contracts
Samples: Benefits Administration Master Services Agreement, Administrative Services Agreement, Business Associate Agreement
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 3 contracts
Samples: Sample Business Associate Agreement, Business Associate Agreement, Business Associate Agreement
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1) the disclosure date, ; (2) the name and (if known) address of the entity to which the Business Associate made the disclosure, ; (3) a brief description of the Covered Entity’s Protected Health Information disclosed, ; and (4) a brief statement of the purpose of the disclosure.
Appears in 1 contract
Samples: Business Associate Agreement
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is is: (1) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 1 contract
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified in Section 3(c(iii)(b) below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 1 contract
Samples: Employee Benefit
Disclosure Information Generally. Except for repetitive disclosures of the Covered Entity’s Protected Health Information as specified below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered Entity’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 1 contract
Samples: Hosted Software Service Agreement
Disclosure Information Generally. Except for repetitive disclosures of the Covered EntityHealth Plan’s Protected Health Information as specified in Section 3(c)(iii)(B) below, the Disclosure Information that the Business Associate must record for each accountable disclosure is (1i) the disclosure date, (2ii) the name and (if known) address of the entity to which the Business Associate made the disclosure, (3iii) a brief description of the Covered EntityHealth Plan’s Protected Health Information disclosed, and (4iv) a brief statement of the purpose of the disclosure.
Appears in 1 contract
Samples: Business Associate Agreement