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NCAS:
Simple Solutions in Health Care
HIPAA Forms:
Member files will be updated with Personal Representative information within 48 - 72 hours of receipt of the forms by NCAS.
Designation of Personal Representative Form - This form is used to assign a personal representative who NCAS can discuss a member's protected health information. The designation on this form expires when the policy ends or when the designation is revoked by the member that made the original request.
Authorization for Release of Health Information - This form is used to authorize NCAS to release specific protected health information to a person or entity for a particular length of time. This authorization will expire within one year unless a lesser time is indicated.
Employee
Confidentiality Agreement and Training Certification
- This form is designed to be signed by employees who have received training
in the employer's HIPAA privacy policies and procedures and have been
instructed in the permitted and required usage and disclosures of protected
health information (PHI).
Other HIPAA Information:
Third Party Administration the Way You Want It -Simple!
Privacy Statement
NCAS & CareFirst Copyright 2001