Fact Sheets, Brochures, and Forms

Fact Sheets

Fact sheets are available on a variety of topics, ranging from policy guidance to instructions for using on-line services.

Entity and Agent Topics

• Authorized Submitters and Authorized Agents
• Entity Eligibility
• HIPDB for Law Enforcement Agencies
• Interface Control Document Transfer Program (ITP)
• On-Line Authorized Agent Registration
• On-Line Entity Registration
• Professional Review Immunity
• Query Fees
• Querying
• Querying and Reporting XML Service
• Registration Renewal
• Reporting
• Submitting a Factually Sufficient Narrative Description

Integrated Querying and Reporting Service (IQRS) Topics

• Creating and Maintaining a Subject Database
• Downloading a Query Response Through the IQRS
• HIPDB Investigative Searches
• Historical Query and Report Summaries
• Importing Fixed-Width Format Subject Data into the IQRS
• Importing XML-Format Subject Data into the IQRS
• Integrated Querying and Reporting Service (IQRS)
• Maintaining IQRS Credit Cards
• Submitting a Query Through the IQRS
• Submitting a Report Through the IQRS
• Updating Profile Information Through the IQRS
• User IDs and Passwords
• Viewing Billing History Through the IQRS

Proactive Disclosure Service Prototype (PDS) Topics

• An Overview of the Proactive Disclosure Service Prototype (PDS)
• Activating the Proactive Disclosure Service Prototype (PDS) and Establishing Preferences
• Enrolling a Subject in the Proactive Disclosure Service Prototype (PDS)
• Updating a Subject in the Proactive Disclosure Service Prototype (PDS)
• Accessing a Proactive Disclosure Service Prototype (PDS) Report Disclosure
• Renewing a Subject Enrollment in the Proactive Disclosure Service Prototype (PDS)
• Canceling a Proactive Disclosure Service Prototype (PDS) Enrollment

Practitioner Topics

• Dispute Process
• Practitioners, Providers, and Suppliers
• Report Response Service
• Security and Confidentiality
• Self-Querying

General Topics

• Attorneys
• General Public
• Healthcare Integrity and Protection Data Bank (HIPDB)
• National Practitioner Data Bank (NPDB)
• Section 1921

Brochures

• Data Banks at a Glance
• HIPDB: Assisting Health Plans in the Fight Against Fraud and Abuse
• HIPDB: Information for Prevention, Detection, and Prosecution of Fraud and Abuse in Health Care
• NPDB and Section 1921 at a Glance
• The NPDB: A Success Story
• Proactive Disclosure Service Prototype (PDS) Benefits
• Proactive Disclosure Service Prototype (PDS) Features
• The Practitioner's Guide to the Data Banks

Forms

• Account Balance Transfer Request
• Account Discrepancy
• Draft Medical Malpractice Payment Report (MS Word)
• Speaker Engagement Request

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