NPI FAQs
Frequently Asked Questions about National Provider ID.
ELECTRONIC
ELIGIBILITY COMPANION GUIDE
Printable AultCare Electronic Eligibility Companion Guide
835 COMPANION GUIDE
Printable 835 Companion Guide for electronic remittance.
5010 837
COMPANION GUIDE
Printable 5010 837 Companion Guide for electronic claims
submission.
837 COMPANION GUIDE Revised - Payor Connectivity Services(PCS)
Printable Revised 837 Companion Guide for electronic claims
submission.
270/271 COMPANION
GUIDE
Printable 270/271 Companion Guide for electronic Health
Care Eligibility/Benefit Inquiry.
AultCare Electronic Claim Fact GUIDE
Facts you should know about AultCare Electronic Claims
TRADING PARTNER AGREEMENT
Printable Trading Partner Agreement to conduct electronic
file transfers.
INSURED HEALTH CARE PLANS NOTICE OF PRIVACY PRACTICES
Printable insured Health Care Plans Notice of Privacy
Practices. If you are in a Self Funded Group please contact your
Human Resources Manager.
ACCESS REQUEST FORM
Printable Access Request form.
ACCOUNTING REQUEST FORM
Printable Accounting Request form.
AMENDMENT REQUEST FORM
Printable Amendment Request form.
CONFIDENTIAL COMMUNICATIONS REQUEST FORM
Printable Confidential Communications Request form.
MEMBER REQUEST TO RESTRICT USES AND DISCLOSURES OF PERSONAL HEALTH
INFORMATION
Printable Member Request to Restrict Uses and Disclosures
of Personal Health Information.
RELEASE OF
INFORMATION
Release of Information form to authorize disclosure of personal
health information to the third party.
All of these forms require Adobe Acrobat.
Download the latest version
here.
