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Forms

Forms

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

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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