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Specification
Brand : ComplyRight
BulletPoint1 : HEALTHCARE FORM: Under the HIPAA regulations, all healthcare providers are required to adopt certain policies and procedures to maintain the privacy of patients’ health information and provide patients with a written notice on how they may use or disclose their protected information. This attorney-approved HIPAA Patient Ack. of Receipt of Notice of Privacy Practices form satisfies all required HIPAA obligations by documenting compliance.
BulletPoint2 : MEDICAL FORM: This HIPAA privacy notice ack. form includes all HIPAA required elements that must be included in order to validate an acknowledgment sheet. It acknowledges that the patient has received a Notice of Privacy Practices from their healthcare provider.
BulletPoint3 : HIPAA: The patient acknowledgment form for receipt of HIPAA notice privacy practices acknowledges that the patient's information to be released to an authorized third party is under HIPAA compliance. Healthcare providers can provide this form to the patients for a clear and concise valid patient acknowledgment under HIPAA.
BulletPoint4 : PACKAGING/DIMENSIONS: The HIPAA medical form is sold in a pack of 200 sheets in English. Each white medical sheet with blue ink print measures 8-1/2” wide and 11” long.
BulletPoint5 : COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms.
CareInstructions : Wipe with Dry Cloth
Color : White
CustomerPackageType : Standard Packaging
ExternallyAssignedProductIdentifier : 50015171315971
ExternallyAssignedProductIdentifier1 : 850002283112
ExternallyAssignedProductIdentifier2 : 0850002283112
ExternallyAssignedProductIdentifier3 : 0605608567766
ExternallyAssignedProductIdentifier4 : 0605608566882
IsDishwasherSafe : 1
ItemName : ComplyRight HIPAA Patient Ack. of Receipt of Notice of Privacy Practices | 8-1/2” x 11” | Medical Form | 200 Pack
ItemPackageDimensions_Height : 27.6098 centimeters
ItemPackageDimensions_Length : 2.5908 centimeters
ItemPackageDimensions_Width : 21.209 centimeters
ItemPackageQuantity : 1
ItemShape : Rectangular
ItemTypeKeyword : business-claim-forms
Manufacturer : ComplyRight
Material : Paper
ModelNumber : A1354AMZ
NumberOfItems : 1
OccasionType1 : Wedding
OccasionType2 : Anniversary
OccasionType3 : Birthday
PackageLevel : unit
PaperSize : 8.5-x-11-inch
PartNumber : A1354AMZ
Pattern : Solid
ProductDescription : CMS 1500 forms are the standardized medical billing forms for professional (non-institutional) medical billing of health insurance claims in the United States. Our form is the official CMS 1500 form version is 02/12 in use for non- institutional providers and suppliers to bill Medicare, payers and insurance companies. No other version of the form OMB-0938-0999 form is acceptable to use after April 1, 2014.
ProductSiteLaunchDate : 2016-08-01T07:00:00-00:00
RecommendedUsesForProduct : Letter
Size : One Size
SterilityRating : Sterile
StreetDate : 2018-08-01T00:00:01Z
Style : Patient Ack. of Receipt of Notice of Privacy Practices
SupplierDeclaredDgHzRegulation : not_applicable
TrayType : Serving Tray
UnitCount : 500