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Medical Records

The medical records maintained by Global Health Claim Services Inc. shall be and remain the property of Global Health Claim Services Inc., and shall not be removed, transferred from, or released by Global Health Claim Services employees, medical directors, consultants or any other business associate except in accordance with terms of this Agreement, applicable state and federal laws, and Global Health Claim Services Inc. policies.

Protected Health Information

Global Health Claim Services Inc. and EE’s agree that the provisions of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and accompanying regulations at 45 C.F.R. Sections 160 and 164, shall govern the Parties’ use and disclosure of protected health information, as HIPAA defines that term. GHCSI and EE’s shall not use or disclose Member protected health information except as permitted by HIPAA or applicable state law, and to the extent HIPAA requires Member authorization for any use or disclosure of protected health information, GHCSI and/or EE’s shall each be responsible for obtaining directly from Member(s) any authorizations to use and/or disclose Member health information as needed for performance under the terms of this Agreement. Notwithstanding the foregoing, GHCSI and/or EE’s may use and disclose Patient protected health information for purposes of treatment, payment, and health care operations, without Patient authorization. GHCSI and EE’s agree to implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that each Party creates, receives, maintains, or transmits.

Confidentiality

Neither Global Health Claim Services Inc. nor EE’s may disclose any proprietary or confidential information of the other Party, including but not limited to trade secrets and the Covered Services Fee Schedule, or any other term of the Agreement, to any third party without the prior written consent of the other Party, or as required by applicable law.

 
 

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