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Business Associate Agreement (BAA) and offshore PHI safeguards

How we sign, and honor, a HIPAA BAA as an India-based vendor.

Our rule: we sign a Business Associate Agreement before any Protected Health Information (PHI) is handled. No BAA, no PHI access. This includes pilot and sample batches.

1. We are a HIPAA Business Associate

When PRISCO MedCode Solutions Pvt Ltd codes, audits, bills or follows up claims for a US covered entity, we create, receive, maintain or transmit PHI on its behalf. That makes us a Business Associate under HIPAA (45 CFR Parts 160 and 164). We operate as HIPAA Compliant, and we put that in writing through the BAA.

2. Why HIPAA applies to us even though we are offshore

HIPAA attaches to the function a Business Associate performs, not to where its office is. Since the HITECH Act and the 2013 Omnibus Rule, Business Associates and their subcontractors are directly responsible for the HIPAA Security Rule, for permitted uses and disclosures of PHI, and for breach notification. Our location in India does not change those duties, and we do not treat it as a reason to do less.

3. What the BAA commits us to

Our BAA, or your own template if you prefer, covers each element required by 45 CFR 164.504(e):

4. How the BAA works with a foreign entity

Because we are an Indian company, we agree to the contract terms US providers need in order to hold us to account. On request we will agree in the BAA to:

5. How PHI is protected in delivery

6. Security frameworks: SOC 2 Type II and ISO 27001 readiness

Our delivery centers are aligned to the control areas of SOC 2 Type II and ISO 27001. Our readiness work is ongoing. We will share our current status and any attestation on request, and we do not describe ourselves as certified or attested until an independent audit says so.

7. How to start

  1. Tell us about your needs. Use the provider form on our contact section.
  2. Review and sign the BAA. We send ours, or sign yours.
  3. Set up access. Accounts, permissions and secure connection under your policies.
  4. Pilot batch. Judge our turnaround and accuracy first-hand before you scale.
Please do not email PHI. Do not send patient information by email, the website forms or the course assistant before a BAA is signed.

Contact: info@priscomedcodesolutions.com

Last updated: October 22, 2026. This page describes our practices and is not legal advice. The signed BAA is the controlling document.