Use this for data requests of pharmacy data. Enter your recipient info as well as your sender/from information. Be sure to remove the watermark and cover page.
Template Letter to Request Pharmacy Data Read More »
Gag Clause Prohibition. Enter your recipient info as well as your sender/from information. Be sure to remove the watermark and cover page.
Template Letter to Request Removal of Gag Clause from Administrative Agreement Read More »
Mental Health Parity. Enter your recipient info as well as your sender/from information. Be sure to remove the watermark and cover page.
Template Letter to Request Mental Health Parity and Addictions Equity Act Information Read More »
Third Party Comp. Enter your recipient info as well as your sender/from information. Be sure to remove the watermark and cover page.
Template Letter to Request Information from Health Plan Brokers and Third Parties Read More »
