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Disclosures for Emergency Preparedness - A Decision Tool: Is the Source a Covered Entity?

This is an Emergency Preparedness Decision Tool to identify if the source of the information is a Covered Entity

Final

Issued by: Office for Civil Rights (OCR)

Disclosures for Emergency Preparedness - A Decision Tool: Is the Source a Covered Entity?


Who is the source of the information to be disclosed?

Is the source of the information a Covered Entity?

YES or NO

 



Definitions:

A Covered Entity is:

A health plan. An individual or group plan that provides, or pays the cost of, medical care. Health plans include private entities (e.g., health insurers and managed care organizations) and government organizations (e.g., Medicaid, Medicare, and the Veterans Health Administration)

A health care provider. A provider of health care services and any other person or organization that furnishes, bills, or is paid for health care in the normal course of business. Health care providers (e.g., physicians, hospitals, and clinics) are covered entities if they transmit health information in electronic form in connection with a transaction for which a HIPAA standard has been adopted by HHS. (e.g., billing)

A health care clearinghouse. A public or private entity, including a billing service, repricing company, or community health information system, that processes non-standard data or transactions received from another entity into standard transactions or data elements, or vice versa.

Find more specific decision tool options to determine if you are a covered entity.


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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.