WE know that a BA relationship exists b/t provider and clearinghouse and no BA relationship exists b/t provider and health plan, per regs. I believe that like the provider, no BA relationship would exist b/t the clearinghouse and the health plan. However, I have been known to be conservative when designating BAs. What’s your reasoning Leslie?
Jamelle Jamelle T. Magee, JD Privacy Officer UNC Chapel Hill Student Health Service v. 919.843.2584
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I disagree. If a collection agency/billing agency etc. is contracted with a provider to submit claims and they are paid by the provider, there is no business associate relationship with the health plan, insurer or whomever they are submitting the claims. They are not providing services to the health plan and the health plan is not providing services to the collection agency/billing agency.
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