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over forms for descriptions )
What Form Should I Use?
|
Most forms available on the site require Adobe Reader. If you are unable to view
forms please make sure you have the latest version of Adobe Reader installed. |
Interactive Forms
Interactive forms allow you to enter information on the form
using your computer instead of filling the form in by hand. Typing your
information in the form decreases the chance of errors that could result in a
reimbursement delay. You are still required to print and sign the forms.
Transmitting Request Forms
The
preferred method of transmitting request forms is over the web. Igoe
Administrative Services offers a secure convenient way to upload your form using
our
Flex
Website. This method guarantees we received the form and provides a historical
log of all forms submitted. You are also able to Fax or mail the form. Please
fax or mail forms to the fax numbers or address provided on the form.
Submitting Request Forms
Click here for detailed instructions on how to complete the
form and what documentation must be provided. You may fill out the form online,
but please make sure to print and sign it when you are finished.
Common
problems that could slow down your request are:No signature on form
Not enough documentation Submitting duplicate request
Change of address box not checked
Request form not completed
more...
Health Insurance Portability and Accountability Act (HIPAA)
Health Information Release
Form Due to HIPAA Privacy regulations, Igoe Administrative Services is unable to
respond to requests for information from non-participants (family members or
others). If you wish to give permission for someone to be given information
about YOUR account you are required to complete the Health Information Release
Form. This form must be signed and submitted EACH time a non-participant
contacts Igoe Administrative Services.