HIPAA Business Associate Agreement

To our valued business associates:

The Health Insurance Portability and Accountability Act (HIPAA) requires that all entities involved in the payment and delivery of health care services comply with specific requirements under 45 CFR Parts 160, 162 and 164 relating to medical records privacy, electronic transaction standards and security.

QualSight’s health plan clients, including HMOs, employers and insurers, are considered covered entities which requires clients to enter into a "Business Associate Agreement" with QualSight. In some instances, QualSight is a Business Associate and a covered entity when service is provided through our network of Board Certified Ophthalmologists.

In order to obtain a Business Associate Agreement from QualSight, you may download a signed Business Associate Agreement Form (PDF file). If your contract with QualSight already includes "business associate" provisions, then you do not need to download this form. Please print the applicable form and have it executed and forwarded to your QualSight Account Manager.