Designated Record definition

Designated Record. Set shall mean a group of records maintained by or for a covered entity that is: (a) the medical records and billing records about individuals maintained by or for a covered health care provider; (b) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (c) used, in whole or in part, by or for the covered entity to make decisions about individuals. For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes PHI and is maintained, collected, used, or disseminated by or for a covered entity.

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Designated Record. Set shall have the meaning given to such term in 45 C.F.R. section 164.501.

Designated Record. Set shall have the meaning given to such term under the Privacy Rule (45 C.F.R. §164.501).

Examples of Designated Record in a sentence

Business Associate shall provide access to PHI in a Designated Record Set to Covered Entity or as directed by Covered Entity to an Individual to meet the requirements under 45 CFR § 164.524.
Business Associate shall make any amendments to PHI in a Designated Record Set that Covered Entity directs or agrees to pursuant to 45 CFR § 164.526, whether at the request of Covered Entity or an Individual.
If BA maintains a designated record set on behalf of CE, BA shall make Protected Information maintained by BA or its agents or subcontractors in Designated Record Sets available to CE for inspection and copying within five (5) days of a request by CE to enable CE to fulfill its obligations under state law [Health and Safety Code Section 123110] and the Privacy Rule, including, but not limited to, 45 C.F.R. Section 164.524 [45 C.F.R. Section 164.504(e)(2)(ii)(E)].
If BA maintains a designated record set on behalf of CE, within ten (10) days of a request by CE for an amendment of Protected Information or a record about an individual contained in a Designated Record Set, BA and its agents and subcontractors shall make such Protected Information available to CE to fulfill its obligations under the Privacy Rule, including, but not limited to, 45 C.F.R.
Business Associate shall within ten days of receiving a written request from Covered Entity make any amendment to PHI in a Designated Record Set as directed by or agreed to by Covered Entity pursuant to 45 C.F.R. 164.526, or take other measures as necessary to satisfy Covered Entity’s obligations under 45 C.F.R. 164.526.

More Definitions of Designated Record

Designated Record. Set" includes the medical records and billing records about individuals maintained by or for a covered health care provider; enrollment, payment, billing, claims adjudication and case or medical management record systems maintained by or for a health plan; or other information used in whole or in part by or for the covered entity to make decisions about individuals. Information used for quality control or peer review analyses and not used to make decisions about individuals is not in the designated record set. The requested information will be provided within 30 days if the information is maintained on site or within 60 days if the information is maintained offsite. A single 30-day extension is allowed if the Company is unable to comply with the deadline. You or your personal representative will be required to complete a form to request access to the PHI in your designated record set. Requests for access to PHI should be made to: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, Senior Privacy Officer & Compliance Manager, Chubb Group, ▇▇▇ ▇▇▇▇’▇ ▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇, phone: ▇-▇▇▇-▇▇▇-▇▇▇▇. If access is denied, you or your personal representative will be provided with a written denial setting forth the basis for the denial, a description of how you may exercise those review rights and a description of how you may complain to the Secretary of Health and Human Services.

Designated Record. Set" has the same meaning as the term “designated record set” has in 45 CFR §164.501.

Designated Record. Set shall mean those records maintained by Business Associate, including the medical and billing records about Individuals, in addition to any enrollment, payment, claims adjudication and case or medical management record systems.

Designated Record. Set shall mean the group of records maintained for DSH that includes medical, dental, and billing records about individuals; enrollment, payment, claims adjudication, and case or medical management systems maintained for DSH health plans; or those records used to make decisions about individuals on behalf of DSH. Contractor shall use the forms and processes developed by DSH for this purpose and shall respond to requests for access to records transmitted by DSH within fifteen (15) calendar days of receipt of the request by producing the records or verifying that there are none;

Designated Record. Set shall have the meaning given under 45 C.F.R. § 164.501. Disclose and Disclosure shall have the meaning given under 45 C.F.R. § 160.103. Documentation means all materials required to support and convey information about the Services required by the Agreement. It includes, but is not necessarily restricted to, written reports and analyses, diagrams, maps, logical and physical designs, system designs, computer programs, flow charts, disks, and/or other machine-readable storage media. Data Use and Reciprocal Support Agreement or DURSA shall mean the first restatement of the multiparty legal agreement that established a trust framework between the participants of the nationwide eHealth Exchange that was updated on September 30, 2014. PA eHealth anticipates becoming or has become a participant of the eHealth Exchange. Effective Date means, with respect to this Agreement, the date of the final Commonwealth of Pennsylvania signature, except as defined otherwise in the Agreement. eHealth Exchange shall mean the nationwide health information network that allows participants to exchange data using an agreed upon set of national standards, services and policies developed by the Sequoia Project in coordination with the Office of National Coordinator within the U.S. Department of Health and Human Services and now managed by the eHealth Exchange Coordinating Committee. External Audit means review of the records of system activity performed by an entity not owned by or affiliated with the same entity using the system being reviewed. Fee-for-Service Medicaid Care Coordinators (MCCs) are also known as Medicaid Care Managers. MCCs are health care professionals that provide medical case management and care coordination for physical health. They develop care plans considering functional ability or lack thereof, medications, surgeries, etc. MCCs work closely with the primary care provider, specialists, and other providers to support the treatment plan and achievement of goals developed for and by the recipient or caregiver. They also work with individuals themselves to ensure they get the services they need. MCCs may authorize care if it meets certain criteria, for instance if the individual needs a prosthetic, home health care or durable medical equipment. Health Care Operations shall have the meaning given under 45 C.F.R. § 164.501. Health Care Provider means, as defined by state law in 62 P.S. § 1401-C, a person licensed by the Commonwealth to provide health care or prof...

Designated Record. SET: “Designated Record Set” shall have the same meaning as the term ‘designated record set” in 45 CFR § 164.501. • DHHS: Secretary of the Department of Health and Human Services (“DHHS”) or duly authorized representative thereof.

Designated Record. Set shall have the meaning set forth at 45 CFR § 164.501 of the HIPAA Regulations.