Knowledge Center

Submit a request Sign in

How can we help you?

Knowledge Center
Forms

Forms

In this section, customers can find any forms UHIN requires to add or change account and user access.

Other Forms

2020 HIT Sponsor Prospectus

Consent Forms

CHIE Direct - RA Policy and Naming Convention Guidelines
Patient Participation Form
HealtHIE Nevada Patient Consent Form

User Forms

Clearinghouse User Form
CHIE New User Form
Direct User Form
EDI Enrollment User Form
10A Prior Authorization User Form
Claims Attachments User Form

Can't find what you're looking for?

Submit a request

© Knowledge Center