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Healthcare Managed Azure Services Exhibit

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HEALTHCARE MANAGED AZURE SERVICES EXHIBIT

Parties and Effective Date

This Exhibit is attached to and incorporated into the Master Services Agreement between the parties. Client Name: and Service Provider Name: Effective Date:

Scope of Azure Managed Services

The Service Provider will provide managed cloud services on the Microsoft Azure platform as described in this Exhibit. Core services include provisioning, monitoring, maintenance, patch management, backup and restore, security configuration, identity management, and operational support for workloads that may contain Protected Health Information (PHI). Describe specific workloads and exclusions:

Service Levels and Support

The Service Provider will use commercially reasonable efforts to meet the following service levels for covered services and systems identified in this Exhibit.

Critical (production-down) response within ; High severity response within .

Security, Privacy, and Compliance

The Service Provider acknowledges that Client data may include PHI. The Service Provider shall maintain administrative, technical, and physical safeguards appropriate to the sensitivity of the data and to comply with applicable healthcare laws and regulations. Minimum controls required are set forth below.

Business Associate Agreement executed: Yes No If executed, BAA Effective Date:

Encryption at rest Encryption in transit Multi-factor authentication (MFA) Privileged access management

Data Handling, Backup and Retention

Recovery Time Objective (RTO): ; Recovery Point Objective (RPO): .

Incident Response and Breach Notification

The Service Provider shall notify Client of any confirmed or suspected security incident affecting Client data, including PHI, without unreasonable delay and in no event later than after discovery. Notification will include an incident description, scope, remedial actions, and contact details for the incident response lead.

Audit Rights and Reporting

Client shall have the right to audit Service Provider’s compliance with the security and privacy obligations at reasonable times and upon reasonable notice. Audit frequency: .

Fees, Invoicing and Service Credits

Term, Termination and Transition

Term: This Exhibit commences on the Effective Date and continues for unless earlier terminated as provided in the Agreement. Termination assistance period (days): .

Subcontractors and Third-Party Services

Confidentiality, Data Ownership, Indemnity and Limitation of Liability

All Client data, including PHI, is and shall remain the property of Client. Service Provider shall not use Client data for any purpose other than performance of the services. Service Provider shall indemnify and defend Client from third-party claims arising from Service Provider’s breach of its obligations with respect to PHI and data security, subject to limitations in the Agreement. Liability cap for Service Provider under this Exhibit:

Change Management and Acceptance

Notices

Notices under this Exhibit shall be delivered to the parties at the contacts set forth below or as otherwise specified in the Agreement.

Representations and Certifications

Each party represents and warrants that it has full power and authority to enter into this Exhibit. Service Provider certifies that it will maintain appropriate controls to protect the confidentiality, integrity and availability of Client data processed in Azure and will comply with applicable healthcare privacy and security laws.

Client:

By:

Date:

Service Provider:

By:

Date:

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What the Healthcare Managed Azure Services Exhibit Is

The Healthcare Managed Azure Services Exhibit is a contract exhibit that documents how cloud-managed services for Microsoft Azure will be delivered, secured, and governed for healthcare customers. It supplements a master services agreement or statement of work by specifying HIPAA-related responsibilities, technical controls, data handling procedures, and performance expectations tailored to protected health information (PHI) and clinical workloads.

Why this Exhibit Is Important for Healthcare Engagements

The exhibit aligns cloud operations with HIPAA, clarifies shared responsibilities, and reduces compliance ambiguity between provider and customer.

Why this Exhibit Is Important for Healthcare Engagements

Typical Parties Who Prepare or Sign the Exhibit

Teams that commonly draft or review this exhibit are legal, security, compliance, procurement, and cloud operations.

  • Healthcare provider legal and privacy teams reviewing PHI obligations and BAA terms.
  • Managed service providers documenting technical controls, SLAs, and monitoring responsibilities.
  • Procurement and vendor risk teams verifying contract terms, liability, and insurance coverage.

Signers often include authorized contracting officers and delegated IT/security leads who accept the technical and compliance terms.

Step-by-Step: Completing the Exhibit

Follow these sequential steps to prepare, review, and finalize the Healthcare Managed Azure Services Exhibit with appropriate stakeholders and verifications.

  • 01
    Draft: Populate fields with accurate entity, scope, and effective date details.
  • 02
    Map Controls: Attach technical controls, encryption, logging, and backup descriptions.
  • 03
    Legal Review: Have legal verify BAA integration, indemnities, and governing law.
  • 04
    Sign and Archive: Execute via accepted signature method and store per retention rules.

Digital Workflow Configuration Checklist

Configure digital signing workflow and verification settings to ensure identity, auditability, and record retention for PHI-related exhibits.

Field Configuration
Signer Authentication Email + SMS code or higher (KBA/SSO) depending on risk.
Document Versioning Enable version control and lock prior versions after signing.
Audit Trail Capture timestamps, IP, and action logs for every signer.
Storage Format Archive final PDF/A or PDF with embedded audit certificate.

Platform and Format Requirements for eSubmission

Choose a signing platform and file formats that preserve audit trails and support HIPAA controls.

  • File Formats: PDF, DOCX supported
  • Integrations: Microsoft 365, Azure, Salesforce
  • Encryption: TLS 1.2/1.3 in transit

How eSigning and eSubmission Typically Works

A consistent eSignature workflow reduces execution time and documents the chain of custody for PHI and contractual approvals.

  • Prepare Document: Attach the exhibit and associated BAA or addendum.
  • Place Fields: Insert signature, date, and initial fields for each party.
  • Authenticate: Use configured authentication method for each signer.
  • Complete & Archive: Store final signed PDF with audit evidence and retention tag.

Key Elements to Include in a Thorough Exhibit

A professional Healthcare Managed Azure Services Exhibit combines operational, security, and legal terms to make responsibilities and remedies clear for both parties.

Scope of Services

Define included managed services, monitoring, incident response, and out-of-scope activities in measurable terms.

PHI Handling

Specify PHI categories, permitted uses, data access controls, and segregation measures.

Technical Controls

List encryption at rest/in transit, vulnerability management, logging, and backup frequency.

Compliance Obligations

Reference HIPAA obligations, breach notification timelines, and audit cooperation terms.

Service Levels

Include availability targets, support response times, and escalation matrix.

Liability & Insurance

Define indemnities, liability caps, and required insurance types and limits.

Security and Compliance Fields to Document

Encryption: AES-256 at rest
Transport Security: TLS 1.2/1.3
Audit Trail: Timestamped logs
HIPAA BAA: Breach terms included
Certifications: SOC 2 Type II
Access Controls: Role-based access

Common Preparation Mistakes to Avoid

  • Leaving PHI handling vague or incomplete, which creates downstream compliance risk during audits or breach investigations.
  • Failing to attach or reference a Business Associate Agreement, causing ambiguity over responsibilities for PHI.
  • Using generic service level language instead of measurable metrics, which impedes enforcement and dispute resolution.
  • Relying on a weak signer authentication method for high-risk PHI transactions, increasing repudiation or fraud exposure.

Penalties and Risks of an Incorrect or Incomplete Exhibit

HIPAA Penalties: Civil fines and corrective action
Data Breach Liability: Statutory damages and costs
Contract Penalties: Liquidated damages or termination
Regulatory Fines: State AG enforcement
Operational Risk: Service disruption exposure
Reputational Harm: Loss of patient trust

Key Timing Considerations and Processing Expectations

Document the timing of review, signature, effective date, renewal, and retention to set clear operational expectations.

Review Window:

Allow 5–10 business days for internal legal review.

Execution Window:

Signatures typically completed within 10 business days.

Effective Date:

Effective on the agreed MM/DD/YYYY date.

Renewal Notice:

Specify notice period, commonly 30–90 days.

Breach Notification:

HIPAA breach notices typically within 60 days.

Milestones from Draft to Operational Service

Track these stages to monitor progress and trigger downstream implementation tasks and audits.

01

Draft Approval

Legal and security approve exhibit content and scope.

02

Counterparty Signatures

Authorized signers execute exhibit and any BAAs.

03

Operational Onboarding

Provisioning, role mapping, and access controls implemented.

04

Compliance Handover

Audit evidence and runbooks transferred to customer operations.

How This Exhibit Differs from Standard Azure Service Contracts

Compare the Healthcare Managed Azure Services Exhibit to a standard managed services exhibit to see which clauses are enhanced for PHI and compliance.

Criteria Healthcare Exhibit Standard Exhibit
PHI Controls enhanced basic logs
BAA Included optional
Breach Response defined timeline general
Audit Access detailed limited

Representative eSignature Vendor Comparison for Executing Exhibits

Simple pricing and feature comparisons can inform platform selection; signNow is listed first per vendor comparison conventions and detailed pricing appears in the rows below.

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 plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Representative Use Cases and Real Customer Examples

These short case arcs illustrate how organizations adapt an exhibit to their cloud and compliance needs.

Optica Ventures (COO)

Optica implemented the exhibit to standardize vendor controls across portfolios

  • Reduced review cycles through standardized clauses
  • "The interface is simple and easy-to-use for our team; more importantly, it is just as easy for our customers."

Fertility Centers of Illinois (Founder)

Clinical operator needed consistent PHI controls across clinics

  • Centralized audit logging and access policies
  • "The airSlate SignNow team has been exceptional, responsive, the API has been great, and we're extremely happy that we chose airSlate SignNow as a company."

Frequently Asked Questions and Troubleshooting

Answers to common legal, technical, and process questions about preparing, signing, and storing the Healthcare Managed Azure Services Exhibit.


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