Qualified Service Organization AgreementQualified Service Organization Agreement • October 6th, 2014
As of the Effective Date, One Health Record® (also known as “AHIE”) and the undersigned Participant hereby enter into a qualified services organization agreement (“QSOA”), whereby the AHIE agrees to provide the Participant with services outlined in the Participation Agreement/DURSA.
EXHIBIT D HIPAA BUSINESS ASSOCIATE / 42 PART 2 QUALIFIED SERVICE ORGANIZATION AGREEMENTQualified Service Organization Agreement • December 13th, 2021
This HIPAA Business Associate/42 Part 2 Qualified Service Organization Agreement (“Agreement”) between the State and Contractor is agreed to in connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the State is referred to as “Covered Entity” and the Contractor is referred to as “Business Associate”. Unless the context clearly requires a distinction between the Contract and this Agreement, all references to “Contract” shall include this Agreement.
Qualified Service Organization AgreementQualified Service Organization Agreement • February 26th, 2020
This Qualified Service Organization Agreement (this “QSOA”) is made as of Current Date (the “Effective Date”) by and between the Healthix, Inc. (“Service Organization”), a New York not- for-profit corporation with its principal office at 40 Worth Street, New York, NY 10013 and Provider Name (“Treatment Provider”), with its principal office at Provider Address, New York, NY 10035 collectively referred to as the “Parties.”
Sample Qualified Service Organization AgreementQualified Service Organization Agreement • January 27th, 2010
("the Program") hereby enter into a qualified service organization agreement, whereby the Center agrees to provide (nature of services to be provided)
HIPAA BUSINESS ASSOCIATE / 42 PART 2 QUALIFIED SERVICE ORGANIZATION AGREEMENTQualified Service Organization Agreement • March 31st, 2021
This HIPAA Business Associate/42 Part 2 Qualified Service Organization Agreement (“Agreement”) between the State and Contractor is agreed to in connection with, and as an exhibit to, the Contract. For purposes of this Agreement, the State is referred to as “Covered Entity” and the Contractor is referred to as “Business Associate”. Unless the context clearly requires a distinction between the Contract and this Agreement, all references to “Contract” shall include this Agreement.
SUBJECT: Agreement – CHESS Mobile Health, Inc., DBA CHESS HealthQualified Service Organization Agreement • April 6th, 2021 • Oklahoma
Submitted for your approval and execution is the attached Agreement between the Board of County Commissioners on behalf of the Tulsa County Juvenile Bureau and CHESS Mobile Health, Inc., DBA CHESS Health for the use of eRecovery, eIntervention and eTherapy as further described in the attached.
QUALIFIED SERVICE ORGANIZATION AGREEMENTQualified Service Organization Agreement • July 25th, 2011
QUALIFIED SERVICE ORGANIZATION AGREEMENTQualified Service Organization Agreement • May 19th, 2017
This Exhibit, the Qualified Service Organization Agreement (“Exhibit”) supplements and is made a part of the underlying agreement (“Agreement”) by and between the County of Alameda, (“County” or “Program”) and , (“Contractor” or “Qualified Service Organization”) to which this Exhibit is attached. This Exhibit is effective as of the effective date of the Agreement.
QUALIFIED SERVICE ORGANIZATION AGREEMENTQualified Service Organization Agreement • April 18th, 2024
To the extent that this Qualified Service Organization Agreement (“Agreement”) is incorporated into the Contract by reference, the Vendor acknowledges and agrees to the following:
hereby enter into a qualified service organization agreement, whereby the above named service organization agrees to provideQualified Service Organization Agreement • April 30th, 2004
Qualified Service Organization AgreementQualified Service Organization Agreement • September 13th, 2018
This Qualified Service Organization Agreement (this “QSOA”) is made as of (Date) (the “Effective Date”) by and between the Healthix, Inc. (“Service Organization”), a New York not-for-profit corporation with its principal office at 40 Worth Street, New York, NY 10013 and the (Participant Name) (“Treatment Provider”), with its principal office at (Address of Participant) collectively referred to as the “Parties.”
Qualified Service Organization AgreementQualified Service Organization Agreement • April 30th, 2019
The Service Organization and the Treatment Provider hereby enter into a QSOA whereby the Service Organization agrees to provide the services outlined in the RHIO Services Agreement between such Parties, dated ( ). By virtue of the RHIO Services Agreement, the Treatment Provider may electronically share certain information with the Service Organization. This QSOA is established in order to satisfy the requirements of 42 C.F.R. § 2.11.
Qualified Service Organization AgreementQualified Service Organization Agreement • August 27th, 2012
records of the identity, diagnosis, prognosis, evaluations, reports, treatment and services maintained in connection with the performance of treatment services provided to offenders sentenced pursuant to Section 1 of 2003 SB 123 (K.S.A. 21-4729) and amendments thereto.
