Legal Term

HIPAA compliance clauses in medical billing service agreement

Legal Definition

Contractual provisions that mandate a medical billing service to adhere to the Health Insurance Portability and Accountability Act (HIPAA) standards, including the Privacy and Security Rules, for the protection of protected health information (PHI) handled on behalf of a healthcare provider.

In Plain English

Rules in a billing contract that require the company to keep your health details safe and private, following federal law to prevent data leaks or misuse.

Example in a Contract
The Billing Service shall comply with HIPAA as a Business Associate, implementing all required safeguards for PHI. It shall promptly report any breaches, ensure workforce training, and allow audits by the Provider to verify compliance. All subcontractors must also follow HIPAA.

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