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DocuSign Envelope ID: CFCE3443-EF37-4FD4-8DCD-D85D559F77AE Health Information other than with the written authorization of the Individual to whom the Protected Health Information pertains. iv. If Business Associate conducts in whole or part Electronic Transactions on behalf of Covered Entity for which HHS has established standards, Business Associate will comply, and will require any Subcontractor it involves with the conduct of such Transactions to comply, with each applicable requirement of the Electronic Transactions Rule. Business Associate shall also comply with the National Provider Identifier requirements, if and to the extent applicable. v. Business Associate will comply with requests for restrictions on use or disclosure to health plans for payment or health care operations purposes when the provider has been paid out of pocket in full consistent with 45 CFR § 164.522(a), provided that Covered Entity has first notified Business Associate of the application of such restrictions. vi. To the extent applicable, Business Associate shall provide access to Protected Health Information in a Designated Record Set at reasonable times, at the request of Covered Entity or, as directed by Covered Entity, to an Individual in order to meet the requirements under 45 CFR §164.524. vii. To the extent applicable, Business Associate shall make any amendment(s) to Protected Health Information in a Designated Record Set that Covered Entity directs or agrees to pursuant to 45 CFR §164.526 at the request of Covered Entity or an Individual. viii. Business Associate shall, upon request with reasonable notice, provide Covered Entity access to its premises for a review and demonstration of its internal practices and procedures for safeguarding PHI. Such access shall be granted no less frequently than annually, and also upon request and reasonable notice, in the event of a Breach or Security Incident as herein defined. ix. Business Associate agrees to document such disclosures of PHI and information related to such disclosures as would be required for a Covered Entity to respond to a request by an individual for an accounting of disclosures of PHI in accordance with 45 C.F.R. §164.528. Should an individual make a request to Covered Entity for an accounting of disclosures of his or her PHI pursuant to 45 C.F.R. §164.528, upon prompt notice of same, Business Associate agrees to promptly provide Covered Entity with information in a format and manner sufficient to respond to the individual's request. x. Business Associate shall make its internal practices, books, records, and any other material requested by the Secretary relating to the use, disclosure, and 4 /GDE Document Generated on June 16, 2020 City of Santa Ana Business Associate Agreement Client Initials: Page 9 25A-32