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Defining Covered Entities, Business Associates, and HIPAA Breaches

By Jill Brooks, MD, CHCO and Julie Sheppard, BSN, JD, CHC
Are you a covered entity? HIPAA defines a covered entity as one of the following: healthcare provider who transmits transactional information in an electronic form; health plan; or healthcare clearinghouse. Most providers are covered entities, managing insurance-related transactions electronically, like submitting claims to a health plan. Covered entities have several requirements under HIPAA, such as managing the business associate relationship and complying with the breach notification rule.