Standards & EDI
Covered Entity
Draft — pending verification
This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.
In more depth
Business associates act for covered entities under contract and inherit obligations that way. In prior-auth architecture conversations, the covered-entity question usually resolves who is legally on the hook for a mandated capability that a vendor actually operates.