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• HIPAA Member Request To Restrict Uses and Disclosures Of PHI Form AultCare

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• Member Forms

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• HIPAA Amend Request Form AultCare

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• HIPAA Access Request Form AultCare

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• Description of Behavioral Health Services

  Inpatient Care (Hospital-Based) This is the highest level of mental health care. It happens in a hospital setting and is for people in serious crisis, such as: At risk of harming themselves or others. Unable to care for basic needs (eating, hygiene). No safe support system at home. What to expect: 24/7 care from psychiatrists, nurses, and…

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• 2025 Vigilant Drug Program High cost brands with generic medications effective 7 1 25

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• 2026 Vigilant Drug Program High cost generic medications

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• Terms & Conditions

  Your Information We do not collect your personal identifying information when you access this website unless: 1. You register to use the services offered on our website; or 2. You provide information to us in an e-mail; or 3. You are offered Enrollment Services You can have Your Say Limit Use…

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• HIPAA

  270/271 5010 Companion Guide 276/277 5010 Companion Guide 820 5010 Companion Guide - Not available at this time. Email edisupport@aultcare.com with questions 834 5010 Companion Guide 835 5010 Companion Guide 835 EFT Enrollment Instructions 835 ERA Enrollment Instructions 837 5010 Companion Guide Vendor Registration Guide

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• Privacy Policy

  Introduction AultCare Insurance Company (dba AultCare HMO), which is part of an Organized Health Care Arrangement with AultCare Corporation, AultCare Health Insuring Corporation dba PrimeTime Health Plan, and Aultra Administrative Group (AultCare or We) is a Group Health Plan Covered Entity under HIPAA. We’re committed to safeguarding the Privacy and Security of…

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