Designated Record Set

 

  1. A group of records maintained by or for a covered entity that is: 

    1. The medical records and billing records about individuals maintained by or for a covered health care provider; 

    2. The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or 

    3. Used, in whole or in part, by or for the covered entity to make decisions about individuals.


  2. For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity.
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