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Covered entity

A HIPAA health plan, health care clearinghouse, or qualifying health care provider that conducts covered electronic transactions.

In practice

A covered entity is a health plan, clearinghouse, or provider that transmits standard transactions electronically. SaaS vendors are usually business associates, not covered entities — but misclassification breaks BAA and Security Rule scoping.

Common confusion

Not every health-related app or employer health program is automatically a covered entity.

Related controls

Framework versions referenced in this page:

Last verified: August 2026 · Primary sources linked above