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.
837 COMPANION
GUIDE
Printable 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.
