NPI Information

Still wondering if you need an NPI (National Provider Identifier)? Do you have an NPI and are unsure of what to do with it? We've put together a series of articles to help you understand the enumeration process and what we're doing to prepare for the May 23, 2007 deadline. Please click here for more information.

HIPAA

• Notice of Privacy Practices

• HIPAA Progress and Status

• Readiness Statement

• Related Web Sites

• FAQs - Office of Civil Rights (OCR)

Forms

• Authorization Form (Please use one authorization form for each family member)
  Word Format
  
  

• Plan Sponsor's Certification (Form A - PHI not limited to enrollment or summary health information)
  Word Format
  PDF Format

• Plan Sponsor's Certification (Form B - PHI limited to enrollment or summary health information)
  Word Format
  PDF Format

Department of Labor (DOL) Regulations

• Benefit Determination & Appeal Process

• Regulation (29 CFR 2560.503-1)

• FAQs - Department of Labor (DOL)

State

• Notice of Privacy Practices (for Insured Contracts Issued in NJ and CT)

Coordination of Benefits (COB)

• New Jersey Department of Banking and Insurance
  (effective January 1, 2003)

New Jersey Prompt Payment Requirements (insured claims)

• Claims Processing Turnaround Time

• Good Faith Effort

• New Jersey Participating Dentist Right to Appeal

• Regulation