Ssl-dfa-site.ark.org

Department of Finance and Administration

WEBARBenefits Employee Benefits Division 501 Woodlane St., Suite 500 Little Rock, AR 72201 (877) 815-1017 [Toll Free] 501-682-9656 Google Map | Contact Us

Actived: 4 days ago

URL: https://ssl-dfa-site.ark.org/employee-benefits-division/arbenefits/coverage-policies

Health Enhancement

WEBARBenefits Employee Benefits Division 501 Woodlane St., Suite 500 Little Rock, AR 72201 (877) 815-1017 [Toll Free] 501-682-9656 Google Map | Contact Us

Category:  Health Go Health

Department of Finance and Administration

WEBARBenefits Employee Benefits Division 501 Woodlane St., Suite 500 Little Rock, AR 72201 (877) 815-1017 [Toll Free] 501-682-9656 Google Map | Contact Us

Category:  Health Go Health

Accessing the Online Health Assessment

WEBAccessing the Online Health Assessment an Tobacco Cessation rograms Completing the Online Health Assessment Starting 1/1/2020, the online health assessment must be …

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Health Insurance Portability and Accountability Act (HIPAA)

WEB3. If an Insurance Representative receives authorization to provide an enrollee’s health information, the representative becomes responsible to secure and protect that enrollee’s

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Authorization to Release Health Information Form

WEBAuthorization to Release Information. This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows EBD …

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Certification of Health Care Provider for Family Member’s …

WEBOMB Control Number: 1235-0003. Expires: 8/31/2021. SECTION I: For Completion by the EMPLOYER INSTRUCTIONS to the EMPLOYER: The Family and Medical Leave Act …

Category:  Medical Go Health

ARBenefitsWell Primary Care Provider (PCP) Form

WEBARBenefitsWell – Primary Care Provider (PCP) Form PLEASE PRINT CLEARLY. If your information is not easily readable, it will not be recorded. This completed form must be …

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American Health Holding Case Management

WEBCase Management. Benefits of Case Management Personal support for you and your family during a serious injury or illness. Education on your health care, home care needs, …

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INFORMATION FOR EVALUATION

WEBTechnical Proposal Packet Bid No. SP-18-0059 May 2018 Page 2 Our customers include: xEmployer groups xIndividuals xCollege students xPart-time and hourly workers xHealth …

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Universal Medical/Dental File Data Dictionary

WEBDefinition: A component of Source-Specific Transaction ID Numbers (Field #33) specific to the ACAS claim engine. An ACAS claim may contain many segments …

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PROVIDER AGREEMENT Aetna Network Services LLC , General …

WEB1 Provider Agreement (2018) PROVIDER AGREEMENT . Aetna Network Services LLC, on behalf of itself and its Affiliates (“Company”), and _____, on behalf of itself and any and …

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State of Arkansas Office of State Procurement

WEBState of Arkansas DHS-ASH EHR and Billing System RFP #: SP-18-0034 Template T-1 –Executive Summary and Prospective Contractor Information 5 1.0 Proposal Signature …

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BUSINESS ASSOCIATE AGREEMENT Between ARKANSAS …

WEBto PHI, the Business Associate shall promptly perform a risk assessment to determine whether the breach of PHI or UPHI has occurred and whether or not the breach has …

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TECHNICAL PROPOSAL

WEBof Arkansas DHS-ASH EHR and Billing System RFP #: SP-18-0034 Template T-1 –Executive Summary and Prospective Contractor Information 3 of 13 1.0 Proposal …

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FINAL TECHNICAL PROPOSAL PACKET SP-18-0059

WEBMullally Insurance Services 2665 N. Atlantic Ave. Suite 325 Daytona Beach, FL 32118 McAfee & Taft 211 N. Robinson Oklahoma City, OK 73102 American Health Holding …

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