For healthcare msps & medical billing

Every client needs a BAA. Every subcontractor needs one too. Keep them all on one board.

A business associate must hold a BAA with each covered-entity client and each subcontractor that touches PHI — and be able to produce it. Put your standard BAA on Pacts: each client accepts it in one sitting, the record is append-only, and the board shows who is covered. No PHI enters Pacts: we hold the agreement and who accepted it, never your clients’ patient data.

Free for 3 standard terms · 5 clients · no card. Your clients accept without an account.

Healthcare-focused IT MSPs administering clinics’ and practices’ systems, medical billing and revenue-cycle (RCM) companies, and the other business associates on the same thread: standard terms sent by email to a named contact.

Sounds familiar?

When an investigator asks for the BAA with a client you onboarded two years ago, what do you hand over?

  • Every practice you onboard needs a BAA before their systems are touched — and it goes out as an attachment the office manager forwards.
  • Your own subcontractors need a BAA from you, and those live in whichever inbox onboarded them.
  • OCR made vendor accountability its 2026 enforcement priority; an investigator wants the BAA, its date and its exact text — not a thread.
What changes

Same meeting. Same terms. A page they accept — not a contract they sign.

Accepted before access

Your standard BAA as a page: the client’s named contact reads it and clicks Accept. The record is written before anyone is given credentials.

Both directions, one board

Covered-entity clients on one side, your subcontractors on the other. One place shows who is on the current BAA and who is pending.

Evidence an investigator accepts

Each acceptance is append-only: the named contact, the time, the exact text, hashed. The certificate is what you hand OCR or a client’s compliance officer.

Put these on Pacts:

Business associate agreementSubcontractor BAAService termsNDA

Keep the negotiated MSA — or any client-imposed paper — in DocuSign. Does a click hold up? →

The client’s side

This is the whole recipient experience — try it.

A private link, the full text, one checkbox per document, one button. No account, no signature field, nothing to forward. Then the record, then the certificate.

See a sample certificate
Northstar Media
Terms for Maya Chen · Acme Media
Data Processing Agreement
Version 3 · current

No account · No signature · One click

Tick the box and accept — this is the whole recipient experience.