Form 13HI004E (HIPAA-004; 08HI004E) Request for Accounting of Disclosures - Oklahoma

Form 13HI004E (HIPAA-004; 08HI004E) Request for Accounting of Disclosures - Oklahoma

What Is Form 13HI004E (HIPAA-004; 08HI004E)?

This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 13HI004E?
A: Form 13HI004E is a Request for Accounting of Disclosures form.

Q: What does HIPAA-004 stand for?
A: HIPAA-004 is a code assigned to the form.

Q: What is the purpose of Form 13HI004E?
A: The purpose of Form 13HI004E is to request an accounting of disclosures of protected health information.

Q: Who can use Form 13HI004E?
A: Anyone in Oklahoma can use Form 13HI004E to request an accounting of disclosures of their protected health information.

Q: Is there a fee for submitting Form 13HI004E?
A: There may be a fee associated with submitting Form 13HI004E, depending on the circumstances.

Q: What should I include when submitting Form 13HI004E?
A: When submitting Form 13HI004E, include any pertinent information about the disclosures you are requesting an accounting of.

Q: How long does it take to process Form 13HI004E?
A: The processing time for Form 13HI004E may vary, depending on the workload of the Oklahoma Health Care Authority.

Q: What if I need help filling out Form 13HI004E?
A: If you need assistance in filling out Form 13HI004E, you can contact the Oklahoma Health Care Authority for guidance.

ADVERTISEMENT

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Oklahoma Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 13HI004E (HIPAA-004; 08HI004E) by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

Download Form 13HI004E (HIPAA-004; 08HI004E) Request for Accounting of Disclosures - Oklahoma

4.7 of 5 (11 votes)
  • Form 13HI004E (HIPAA-004; 08HI004E) Request for Accounting of Disclosures - Oklahoma, Page 1
ADVERTISEMENT