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By Customers use of this electronic website and its content, you agree not to submit, disclose or transmit, patient information that could be considered non- public personal information in violation of the Gramm-Leach-Bliley Act (“GLB”) codified at 15 U.S.C. § 6801 et seq.; the Federal Fair Credit Reporting Act (“FFCRA”) codified at 15 U.S.C. § 1681 et seq.; and by the Health Insurance Portability and Accountability Act of 1996 and regulations, and the Health Information Technology for Economic and Clinical Health Act (collectively “HIPAA”). Customer acknowledges that it has its own obligations for use, non-disclosure and privacy under the aforementioned acts (GLB, FFCRA, and HIPAA). In addition, for all documents that require Customers signature, Customer hereby authorizes Change Healthcare, LLC to use Customers electronic signature as such term is defined in the Electronic Signatures in Global and National Commerce Act at 15 U.S.C. §7001 et seq. (“ESIGN Act”).

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