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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

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