MassCare/Mass Services appreciates the opportunity to launch our programs within your practice. As a practice management company we are aware of most practices time and resource limitations associated with launching a new program. Our approach to launching our program within your practice will be of minimal interruption if you can complete our check list below. We welcome your involvement with the launch of our program but it is not required.

The Business Associates Agreement is a standard agreement between two entities designating a Healthcare working relationship. The main purpose of this agreement is to be able to share Patient Health Information (PHI) legally in compliance with HIPAA.

Please download, complete and fax the attached BAA to us at 508-437-0561.  Click Here to Download.

 

Physician Name
Physician Name
Address
Address
Office Phone
Office Phone
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Billing Contact Address
Billing Contact Address
Billing Contact Phone
Billing Contact Phone