Digital Signatures

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What is a Digital Signature?

Digital signatures are legally enforceable electronic records that close the gap in going fully paperless by completely eliminating the need to print documents for signing. Digital signatures enable the replacement of slow and expensive paper-based approval processes with fast, low-cost, and fully digital workflow.

Why use digital signatures?

The Digital Signature via Encrypted Mail investment is justified with the avoidance of merely one FedEx package per month. Traditional shipping expenses range from $30 - $84 per document round trip. The minimum cost of FedEx next day air delivery by 8:30 AM within 0-150 miles of origin is $42 dollars…ONE WAY. UPS is $46.80. USPS does not offer that service. For Next day delivery guaranteed by 10:30 am UPS charges $15.80, FedEx charges $17.00 and the USPS Express Mail is $14.90 for packages less than 8 oz in weight. In addition to shipping expenses, the labor of wet ink and paper handwritten signatures is costly. This labor includes time spent printing, faxing, preparing an overnight letter address, waiting for an overnight letter pickup/delivery, and tracking the document receipt, as well has handling and filing. Digital signatures sent via encrypted mail reduce labor and shipping expenses while improving responsiveness, ease of use, and business relationships.

Are Digital Signatures legal?

Max.md Digital Signatures are legally binding and compliant with the federal Electronic Signatures in Global and National Commerce Act of 2000 (ESIGN) and the Uniform Electronic Transactions Act (UETA). Digital Signatures stand up in court with:

  • Authenticity: uniquely identifies the signer like a digital “fingerprint”
  • Integrity: any tampering to the document invalidates the signature
  • Enforceability: signatures must be verifiable by all parties
  • Non-refutability: the signature cannot be denied or disavowed

Electronic vs Digital Signatures

Not all electronic signatures are digital signatures. An electronic image of a signature captured at a retail store, or a personal identification number for an ATM are considered electronic signatures. By contrast, Digital Signatures incorporate an encryption key and signing algorithm (asymmetric cryptography) to the message contents. Any change to the document invalidates the match between the public key and the signature verifying algorithm, thereby invalidating the signature. The digital signature is unique to the person using it and can not be copied, altered, or corrupted.

Benefits of Max.md Digital Signatures

  • Low flat fee for unlimited signatures and counterparties
  • Saved time equals saved money
  • Reduce expenses for postage, document shipping, paper, ink and toner
  • Compliance with providers, insurers, or regulators
  • Record multiple signatures
  • Improve patient outcomes and safety with improved workflow efficiency.
  • Environmentally friendly
  • Easy to use

Who’s using Digital Signatures?

Healthcare organizations collect hundreds of signatures a day. Digital signatures are in use by Hospitals of all sizes, Ambulatory facilities, Remote and mobile staff, Mental healthcare providers and healthcare organizations carrying out clinical trials. Typical documents using digital signatures include:

  1. Patients: Consent forms, Discharge Instructions, Advance Directives, Administrative Requests
  2. Physicians: Patient orders, Medical records, Medicare certifications, Prescriptions, Lab requests, Clinical evaluations, Clinical orders
  3. Business Agreements: HR Enrollments, Corporate contracts, E-transactions


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