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: Review, select, and sign your method of connection on our IHDE Participant Services and Pricing form.
III. STEP THREE: Review and sign the Business Associate Addendum.
IV. STEP FOUR: Review, appoint, and sign the Security Administrator (SA) form. An SA must be appointed to manage your facility’s user count.
V. STEP FIVE: Scan, fax or mail the executed documents to IHDE at:
email@example.com, FAX: 1-208-803-0031
Mail: PO BOX 6978, Boise, ID 83707
For questions: 208-803-0030, x0