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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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3. Provider's Treatment Activities <br />Administrator will be permitted to disclose Protected Health Information in <br />accordance with 45 C.F.R. § 164.506(c) for the Treatment activities of a Health <br />Care Provider. <br />4. Covered Person Permission <br />Administrator will be permitted to use or disclose Protected Health Information in <br />accordance with an authorization or other permission granted by an Individual (or <br />the Individual's Personal Representative) in accordance with 45 C.F.R. § 164.508 <br />or 45 C.F.R. § 164.510, as applicable. <br />5. Administrator's Own Manasement and Administration <br />a. Protected Health Information Use <br />Administrator will be permitted to use Protected Health Information as <br />necessary for Administrator's proper management and administration or to <br />carry out Administrator's legal responsibilities. <br />b. Protected Health Information Disclosure <br />Administrator will be permitted to disclose Protected Health Information as <br />necessary for Administrator's proper management and administration or to <br />carry out Administrator's legal responsibilities only (i) if the disclosure is <br />Required by Law, or (ii) if before the disclosure, Administrator obtains from <br />the entity to which the disclosure is to be made reasonable assurance, <br />evidenced by written contract, that the entity will (1) hold Protected Health <br />Information in confidence, (2) use or further disclose Protected Health <br />Information only for the purposes for which Administrator disclosed it to <br />the entity or as Required by Law; and (3) notify Administrator of any <br />instance of which the entity becomes aware in which the confidentiality of <br />any Protected Health Information was breached. <br />6. De -Identified Health Information <br />Administrator may use Protected Health Information to create De -Identified Health <br />Information in conformance with 45 C.F.R. § 164.514(b). Administrator may use <br />and disclose De -Identified Health Information for any purpose, including after any <br />termination of the Agreement and this Addendum. <br />7. Limited Data Set <br />a. Creation of Limited Data Set. Administrator may use Protected <br />Health Information to create a Limited Data Set: <br />that contains the minimum amount of Protected Health <br />Information reasonably necessary to accomplish the <br />purposes set out in Paragraph b of this Section III.C.7, <br />below; and <br />40 <br />
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