Compliance Information

HIPAA Information, Notices and Forms

• HIPAA Compliance
• Notice of Privacy Practices
• U.S. Department of Health and Human Services
• FAQs - Office of Civil Rights (OCR)

Forms

• Authorization for Release of Health and Payment Information
  (Please use one authorization form for each family member)
• Authorization Form Granting Access to PHI - Self Funded Clients
• Authorization Form Granting Access to PHI - Insured Clients

Department of Labor (DOL) Regulations

• Benefit Determination & Appeal Process
• Regulation (29 CFR 2560.503-1)
• FAQs - Department of Labor

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
• Regulation
• Prompt Payment of Claims Issues - Department of Banking and Insurance (NJDOBI)

NPI

• Electronic Funds Transfer for New Jersey and Connecticut Participating Dentists