AGREEMENT WITH BUSINESS ASSOCIATEAgreement With Business Associate • January 31st, 2017
Company and Business Associate mutually agree to comply with the requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and its implementing regulations (45 C.F.R. Parts 160-64) and the requirements of the Health Information Technology for Economic and Clinical Health Act, as incorporates in the American Recovery and Reinvestment Act of 2009 (the “HITECH Act”), that are applicable to business associates, along with any guidance and/or regulations issued by DHHS. Company and Business Associate agree to incorporate into this Agreement any regulations issued with respect to the HITECH Act that relate to the obligations of business associates. Business Associate recognizes and agrees that it is obligated by law to meet the applicable provisions of the HITECH Act.
—LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY—Agreement With Business Associate • January 22nd, 2009 • Louisiana
(d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA), (hereinafter referred to as "Contractor"), a Louisiana corporation domiciled in the Parish of East Baton Rouge, herein represented by its duly authorized and undersigned officer, whose permanent mailing address is declared to be 5525 Reitz Avenue, Baton Rouge, Louisiana 70809, and
AGREEMENT WITH BUSINESS ASSOCIATEAgreement With Business Associate • November 27th, 2018
This Agreement (“BAA”) is effective upon execution, and is made by and between My Medical Hub Corporation. having its principle office located at 13220 McCormick Drive, Tampa, FL 33626(“Business Associate”) and its subsidiaries and affiliates and professional associations for which it or its subsidiaries and affiliates perform non- medical management and administrative functions, having its principle office located at
Appointment Contract & Business Associates Agreement– signed and dated Copies of current individual license(s) for each state you plan to write business in.Agreement With Business Associate • February 13th, 2012 • Arizona
This authorizes Pivot Health Holdings, LLC or Allied National on behalf of Pivot Health Holdings, LLC to send credit entries (and appropriate debit and adjustment entries) electronically, or by any other commercially accepted method, to my (our) account indicated below and to other accounts I (we) identify in the future (the "Account"). This authorizes the financial institution holding the Account to post all such entries.
ILinkBlue Non-Provider Service AgreementAgreement With Business Associate • November 3rd, 2009 • Louisiana
(d/b/a BLUE CROSS AND BLUE SHIELD OF LOUISIANA), (hereinafter referred to as "Contractor"), a Louisiana corporation domiciled in the Parish of East Baton Rouge, herein represented by its duly authorized and undersigned officer, whose permanent mailing address is declared to be 5525 Reitz Avenue, Baton Rouge, Louisiana 70809, and
