If the billing company is a clearinghouse then they are both a CE and a BA of 
their clients.

HHS has clarified that CE and BA status do not have to be mutually 
exclusive.  You can be both a CE and a BA.  Note however that BA 
relationships can be one way or they can be reciprocal.

Yes a clearinghouse is a CE and as a CE they are obligated to have BA 
agreements in place with all of their BA's.  But the providers who use the 
clearinghouse are not BA's of the clearinghouse.  This would be a one way 
relationship where the clearinghouse is a BA of the provider but not visa 
versa.  The key here is who is performing functions on behlaf of whom?  The 
clearinghouse is providing billing services on behalf of the provider.  The 
provider is not doing anything on behalf of the clearinghouse.

Noel Chang

--
Open WebMail Project (http://openwebmail.org)


---------- Original Message -----------
From: "Brenda K. Burton" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Tue, 04 Feb 2003 22:05:21 +0000
Subject: Re: Business Associates Agreements

> "If the billing company does all its transactions as Standard 
> Transactions", then it would be considered a clearinghouse and 
> therefore a CE rather than a BA; is this not correct?
> 
> And the CE is actually the one that is technically responsible in 
> implementing the BA agreement, aren't they?
> 
> Just my thoughts!  ~Brenda
> 
>  The Billing Companies won't need to ensure any BAAs are in place 
> unless someone out there acts on behalf of the Billing Company 
> rather than on behalf of the Covered Entity (Provider) [CUSTOMER!]
> > 
> > Their Customers will need BAAs in place with the following:
> > *   The Billing Company
> > *   A Collection Agency, if used
> > *   Any Transactions Clearinghouse (note: if the Billing Company does all 
its transactions as Standard Transactions, a BAA is not required with a 
clearinghouse acting only as a switcher -- just an ordinary contract to do 
business)
> > 
> > Neither the Billing Company nor their Customers need BAAs with any Health 
Plans unless they doing a non-health-plan function.
> > 
> > 
> > The opinions expressed here are my own and not necessarily the opinion of 
LCMH.
> > 
> > Douglas M. Webb
> > Computer System Engineer
> > Little Company of Mary Hospital & Health Care Centers
> > [EMAIL PROTECTED]
> > 
> > "This electronic message may contain information that is confidential 
and/or legally privileged. It is intended only for the use of the individual
(s) and entity(s)  named as recipients in the message. If you are not an 
intended recipient of the message, please notify the sender immediately,  
delete the material from any computer, do not deliver, distribute, or copy 
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the information it contains. Thank you."
> > 
> > 
> > 
> > ----- Original Message ----- 
> > From: <[EMAIL PROTECTED]>
> > To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
> > Sent: Tuesday, February 04, 2003 02:11 PM
> > Subject: Business Associates Agreements
> > 
> > 
> > > Hi, I'm helping some small Billing companies in my area
> > > become HIPAA compliant and I'm not sure if they need a
> > > Business Associates Agreement with the Insurance
> > > carriers that they submit claims to.  Any information
> > > would be greatly appreciated.  
> > > 
> > > Thank you,
> > > 
> > > M.Noren
> > > 
> > > ---
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> > The WEDI SNIP listserv to which you are subscribed is not moderated. The 
discussions on this listserv therefore represent the views of the individual 
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Directors nor WEDI SNIP. If you wish to receive an official opinion, post 
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> The WEDI SNIP listserv to which you are subscribed is not moderated. 
> The discussions on this listserv therefore represent the views of 
> the individual participants, and do not necessarily represent the 
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> Issues Database at http://snip.wedi.org/tracking/.   These listservs 
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---
The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
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you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
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