Common use of Designated Record Set Clause in Contracts

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

Appears in 11 contracts

Sources: Business Associate Agreement, Restructuring Agreement, Purchase Services Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity that is: are (i) the medical records and billing records about Individuals maintained by or for a covered health care providerHealth Care Provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health planHealth Plan; or (iii) used, in whole or in part, by or for the covered entity Covered Entity to make decisions about Individuals. For purposes of this definition, the term “record” record means any item, collection, or grouping of information that includes protected health information Protected Health Information and is maintained, collected, used, or disseminated by or for a covered entitythe Covered Entity.

Appears in 9 contracts

Sources: Payer Participation Agreement, Payer Participation Agreement, Payer Participation Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity covered entity, as defined by the Privacy Rule, that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity.

Appears in 3 contracts

Sources: Ancillary Participation Agreement, Business Associate Agreement, Ancillary Participation Agreement (Certified Diabetic Services Inc)

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity. HIPAA Rules. The Privacy Rule and the Security Rule and amendments codified and promulgated by the HITECH Act are referred to collectively herein as “HIPAA Rules.

Appears in 2 contracts

Sources: Business Associate Agreement, Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean means a group of records maintained by or for a Covered Entity covered entity, as defined by the HITECH Act, that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity.

Appears in 2 contracts

Sources: Business Associate Agreement, Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity that is: is (i) the medical records and billing records about Individuals individuals maintained by or for a covered health care providerCovered Entity; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity Covered Entity to make decisions about Individualsindividuals. For purposes of this definitionAs used herein, the term “recordRecord” means any item, collection, collection or grouping of information that includes protected health information PHI and is maintained, collected, used, or disseminated by or for a covered entityCovered Entity as defined in 45 CFR § 164.501.

Appears in 1 contract

Sources: Master Terms Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity. HIPAA Rules. The Privacy Rule and the Security Rule and amendments codified and promulgated by the HITECH Act and Omnibus Rule are referred to collectively herein as “HIPAA Rules.

Appears in 1 contract

Sources: Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a Covered Entity the City’s Fire Department that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity City’s Fire Department to make decisions about Individuals. For purposes of this definition, the term “record” means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entityCity’s Fire Department.

Appears in 1 contract

Sources: Contract Nurse Practitioner Program Agreement

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

Appears in 1 contract

Sources: Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean means a group of records maintained by or for a Covered Entity that is: include (ia) the medical records and billing records about Individuals individuals maintained by or for a covered health care healthcare provider; (iib) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health planCovered Entity; or (iiic) records used, in whole or in part, by or for the covered entity Covered Entity to make decisions about Individualsindividuals. For purposes of this definitionAs used herein, the term “recordRecord” means any item, collection, or grouping of information that includes protected health information Protected Health Information and is maintained, collected, used, used or disseminated by or for a covered entityCovered Entity.

Appears in 1 contract

Sources: Business Associate Agreement

Designated Record Set. Designated Record Set" shall mean a group of records maintained by or for a Covered Entity that is: (i) the medical records and billing records about Individuals maintained by or for a covered health care providerCovered Entity; (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity Covered Entity to make decisions about Individuals. For purposes of this definition, the term "record" means any item, collection, or grouping of information that includes protected health information PHI and is maintained, collected, usedUsed, or disseminated by or for a covered entityCovered Entity.

Appears in 1 contract

Sources: Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean a group of medical records maintained by or for a Covered Entity covered entity that is: (i) the The medical records and billing records about Individuals individuals maintained by or for a covered health care provider; , (ii) the The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, Used in whole or in part, by or for the covered entity to make decisions about Individualsindividuals. For the purposes of this definitionparagraph, the term “record” record means any item, collection, collection or grouping of information that includes protected health information and is maintained, collected, used, used or disseminated by or for a covered entity.

Appears in 1 contract

Sources: Business Associate Agreement

Designated Record Set. “Designated Record Set” shall mean a group of records maintained by or for a the Covered Entity that is: is (i) the medical records and billing records about Individuals individuals maintained by or for a covered health care provider; the Covered Entity, (ii) the enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) used, in whole or in part, by or for the covered entity Covered Entity to make decisions about Individualsindividuals. For purposes of this definition, As used herein the term “recordRecord” means any item, collection, or grouping of information that includes protected health information Protected Health Information and is maintained, collected, used, or disseminated by or for a covered entitythe Covered Entity.

Appears in 1 contract

Sources: Funding Agreement