Permitted Uses
Define exactly what PHI the business associate may access and for what operational or contractual purposes.
A correctly executed BAA is central to HIPAA compliance, clarifies responsibilities for PHI protection, and reduces regulatory and contractual risk under 45 CFR Part 160–164 and related state laws.
Entering a BAA is standard when a covered entity or business associate shares PHI with a contractor, vendor, or subcontractor; the agreement must be signed before PHI exchange begins.
Define exactly what PHI the business associate may access and for what operational or contractual purposes.
Specify administrative, technical, and physical controls required to protect PHI, consistent with HIPAA Security Rule expectations.
Assign timelines and procedures for notifying the covered entity and support forensic and regulatory response.
Require flow-down BAAs for any subcontractor that will create, receive, or handle PHI on behalf of the business associate.
State when the agreement starts, how it may be ended, and post-termination disposition of PHI.
Allocate responsibility for breaches, regulatory fines, and third-party claims, including any insurance requirements.
| Field | Configuration |
|---|---|
| Routing Order | Sequential signer order with required fields |
| Authentication | Email + SMS code or stronger MFA for signer identity |
| Document Retention | Automated secure storage with access controls |
| Audit Trail | Enable full event logging and downloadable certificate |
Choose an eSignature platform that supports HIPAA, detailed audit trails, secure storage, and appropriate signer authentication.
Start date determines contractual obligations
Specify notification timeframe (commonly 72 hours)
Schedule yearly policy and BAA review
Contractual notice period for termination events
Retention obligations for signed BAAs
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
Optica used a standard BAA for cloud-hosted patient referral services
A clinic adopted digital BAAs for remote vendors