Alaska HIPAA Authorization is a legal document that allows for the disclosure of protected health information (PHI) according to the Health Insurance Portability and Accountability Act (HIPAA). It is commonly used by health care providers, health plans, health care clearinghouses, and other entities covered by HIPAA to authorize the release of patient information for research, marketing, and other purposes. The Alaska HIPAA Authorization form must be completed and signed by the patient, or the patient's legal representative, before PHI can be released. There are two main types of Alaska HIPAA Authorization forms: general authorization and specific authorization. A general authorization form allows the covered entity to use or disclose PHI for any purpose specified in the form. A specific authorization form allows the covered entity to use or disclose PHI only for the specific purpose specified in the form. Both types of authorization form must be completed and signed by the patient, or the patient's legal representative, before PHI can be released.
Alaska HIPAA Authorization
State:
Alaska
Control #:
AK-HIPAA-1
Format:
Word;
Rich Text
Instant download
Description
HIPAA authorization form specifically for Alaska
How to fill out Alaska HIPAA Authorization?
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The federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient. INSTRUCTIONS: HIPAA is a federal law that sets a national standard to protect medical records and other personal health information.Alaska law sets standards for records held by. We use a HIPAA-compliant vendor to securely deliver client forms submitted through our website. Navigate here to view client forms. A service authorization request can be completed via Alaska. Medicaid Health Enterprise, with a 278 EDI transaction, or with a paper form. Request access, authorize disclosure via forms or in writing. When complete, please return forms to us at 1231 Gambell Street, Anchorage AK, 99501 or via FAX (907)333-4383. Section A APPLICANT INFORMATION.
