End-User License Agreement
I acknowledge and agree that OnBase that is used to distribute/share Provider Portal outputs may be used to transmit, collect, access, manage, and display Patient Information (as defined herein) by me, using my authorized account and among other authorized users and their authorized employees and contractors.
I acknowledge and agree that Patient Information related to Covered Members/Persons may be stored by AllyAlign Health, Inc. and/or its licensees and service providers in connection with providing Provider Portal and its related services, as well as shared among other users of the Provider Portal and its related services, including recipients of outputs.
I acknowledge and agree that the Patient Information stored by AllyAlign Health, Inc. shall not serve as the system of record for any patient, personal representative of a patient, health care provider, any business associate of a health care provider, or any affiliates of the foregoing. “Patient Information” means, collectively, information and data related to the provision of health care to patients, their health status, medical records, and related information and documents, including consent to treatment forms, authorization to disclose medical information forms, Medicare forms, Medicaid forms, living wills, Directives to Physicians and Family or Surrogates, Medical Powers of Attorney, Out-of-Hospital Do-Not-Resuscitate Orders, Declarations of Mental Health Treatment, images, reports, and lab and test results, medical treatments performed by you and/or other Healthcare Providers, and other “protected health information,” as defined under HIPAA and similar terms as defined by state, national, or international law.
I agree that provision and use of all Patient Information will be in compliance with HIPAA and all other applicable laws.
