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2023-098B
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2023-098B
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Last modified
3/18/2024 12:03:39 PM
Creation date
3/18/2024 11:53:00 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/16/2023
Control Number
2023-098B
Agenda Item Number
12.D.2.
Entity Name
Blue Cross and Blue Shield
Subject
Shield Transition Health Plan Administrative Services from
Blue Cross Shield of Florida Inc.(Florida Blue)
to Blue Cross Blue Shield National Alliance effective 10/01/2023 thru 9/30/2026
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M. "Unsecured PHI" means PHI that is not secured through the use of technology or <br />methods approved by the Secretary of Health and Human Services to render the <br />PHI unusable, unreadable or indecipherable to unauthorized individuals. <br />N. "Use" means, with respect to Protected Health Information, utilization, employment, <br />examination, analysis or application within Administrator. <br />PART 2--ADMINIATRATOR'S RESPONSIBILITIES <br />IL SERVICES PROVIDED BY ADMINISTRATOR <br />During the term of the Agreement, Administrator will perform the services set forth in the <br />Agreement with respect to the benefits offered to Covered Persons by GHP. <br />III. PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION <br />A. Preservation of Privacy <br />Administrator will take reasonable steps to protect the confidentiality of all Protected <br />Health Information in the performance of its duties under the Agreement and this <br />Addendum. <br />B. Prohibition on Non -Permitted Use or Disclosure <br />Administrator will neither use nor disclose Protected Health Information except (1) as <br />permitted or required by this Addendum, (2) as permitted or required in writing by GHP, <br />or (3) as Permitted by Law. <br />C. Permitted Uses and Disclosures <br />Administrator will be permitted to use or disclose Protected Health Information as <br />follows: <br />1. Functions and Activities on GHP's Behalf <br />Administrator will be permitted to use and disclose Protected Health Information <br />for the performance of services set forth in the Agreement, which the parties agree <br />are intended to include, but are not limited to, Payment activities and Health Care <br />Operations, and which shall hereby also include Data Aggregation. <br />2. Another Covered Entity's Payment Activities and Health Care <br />Operations <br />Administrator will be permitted to disclose Protected Health Information in <br />accordance with 45 C.F.R. § 164.506(c) for the Payment activities of another <br />Covered Entity or Health Care Provider and for the qualifying Health Care <br />Operations of another Covered Entity. <br />39 <br />
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