Common Contracts

Contract

Data Share Agreement • July 11th, 2018 • Washington

• Contract Type
  Data Share Agreement
• Filed
  July 11th, 2018
• Jurisdiction
  Washington

Data Share Agreement [DESCRIPTION] HCA Contract Number: K Receiving Party Contract Number: This Data Share Agreement (“Agreement” or “DSA”) is made by and between the state of Washington Health Care Authority (“HCA”) and the party whose name appears below (“Receiving Party”) Receiving Party Name Receiving Party doing business as (DBA) Receiving Party Address Receiving Party Contact Name, Title (Contract Manager) Receiving Party Contact Telephone Receiving Party Contact Email Address HCA Program HCA Division/Section ProviderOne ProviderOne Operations and Services HCA Contact Name, Title (Contract Manager) HCA Contact Address Cathie Ott, Assistant DirectorProviderOne Operations and Services 626 8th Avenue SE, PO Box 45564Olympia, WA 98504-5564 HCA Contact Telephone HCA Contact Email Address (360) 725-2116 Cathie.ott@hca.wa.gov The parties signing below warrant that they have read and understand this Agreement, and have authority to execute this Agreement. This Agreement wi