A Participant is defined as an organization or entity utilizing Clinical Portal, HIE, and/or DMS services for purposes of secure, encrypted exchange of Protect Health Information (PHI).
The above document provides instructions for executing an Idaho Health Data Exchange Participation Agreement between your organization and IHDE.
I. STEP ONE: Review and sign the Participation Agreement. This is the base document for participation in all Idaho Health Data Exchange (IHDE) activities and is required to participate in any of the IHDE programs. Participant must sign this form. Note: A Participant is defined as an organization or entity, not as a specific individual. Only an authorized signatory may sign the Agreement on behalf of the organization.
II. STEP TWO: Choose the programs in which your organization would like to participate at this time by marking your choice on the IHDE Participant Services. Participants may enroll in as many programs as they would like, so long as they meet any applicable qualifications. The choice of programs does not limit any future options – a Participant may add programs at any time, and may dis-enroll from programs in accordance with the termination provisions of the Participant Agreement.
III. STEP THREE: Review and sign the Business Associate Addendum.
IV. STEP FOUR: Scan, fax or mail the executed documents to IHDE at:
firstname.lastname@example.org, FAX: 1-208-803-0031
Mail: PO BOX 6978, Boise, ID 83707
For questions: 208-803-0030, x0