UCCI – Statement of Work (SOW) Dental Coverage for all Active Duty Service Members (ADSMs)
FOIA Library
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Recent FOIA Documents
Delta Dental – TRICARE Retiree Dental Program (TRDP) coverage Statement of Work (SOW)
Identification and Validation of Other Health Insurance
Direct Care encounters for Multiple Sclerosis
TRICARE beneficiaries with a diagnosis of Parkinson's Disease
Number of office visits for PCOS as well as the number of diagnoses for fatigue in a 1 year timeframe
Direct Care encounters for Chronic Bronchitis, Emphysema, Bronchiectasis, and Chronic Airway Obstruction
2009 Autism Spectrum Disorder - FOIA Terms and Conditions 2
Government Required MTF Prime Service Areas
Service Assist Team After Action Report - DD Form 1423-1 Contract Data Requierments List
Popular FOIA Documents
We found 621 items
Form/Template
July 29, 2014
United Healthcare Military & Veterans Information System
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70.18 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the United Healthcare Military & Veterans Information System system.
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July 29, 2014
Patient Safety Reporting (PSR)
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87.41 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Patient Safety Reporting (PSR) system.
Form/Template
July 29, 2014
Active Directory Domain Services (AD DS)
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74.39 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Active Directory Domain Services (AD DS) system.
Form/Template
July 29, 2014
Pharmacy Data Transaction Service (PDTS)
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80.17 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Pharmacy Data Transaction Service (PDTS) system.
Form/Template
July 29, 2014
Nutrition Management Information System (NMIS)
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85.07 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Nutrition Management Information System (NMIS) system.
Form/Template
July 29, 2014
Health Net Federal Services Information System (HNFS IS)
.PDF |
74.37 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Health Net Federal Services Information System (HNFS IS) system.
Form/Template
July 29, 2014
Humana Military Healthcare Services Automated Information System (HMHS AIS)
.PDF |
71.90 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Humana Military Healthcare Services Automated Information System (HMHS AIS) system.
Form/Template
July 29, 2014
Clinical Information System (CIS)/Essentris ©
.PDF |
69.66 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Clinical Information System (CIS)/Essentris © system.
Form/Template
July 29, 2014
Delta Dental Federal Government Programs Information System (DDFGP-IS)
.PDF |
76.81 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Delta Dental Federal Government Programs Information System (DDFGP-IS) system.
Form/Template
July 29, 2014
Defense Medical Human Resources System - Internet (DMHRSi)
.PDF |
83.96 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Medical Human Resources System - Internet (DMHRSi) system.
Form/Template
July 29, 2014
Designated Provider Health Care Delivery System (DPHCDS)
.PDF |
80.86 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Designated Provider Health Care Delivery System (DPHCDS) system.
Form/Template
July 29, 2014
United Concordia Companies Inc. (UCCI) Active Duty Dental Program (ADDP)
.PDF |
99.80 KB
This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the United Concordia Companies Inc. (UCCI) Active Duty Dental Program (ADDP) system.
Form/Template
June 6, 2014
Plan of Action and Milestone Template
.PDF |
163.93 KB
This template is used to track plans of action and milestones regarding potential breaches.
Form/Template
June 1, 2014
Cosmetic Surgery Superbill 2014
.PDF |
292.24 KB
Use this form to bill for cosmetic surgery.
Form/Template
June 1, 2014
Formal Appeal Request
.PDF |
263.60 KB
Defense Health Agency - Great Lakes Worksheet (DHA-GL Worksheet-03) Complete this form when submitting a formal appeal for denied medical claims or denied pre-authorization requests by the DHA, Great Lakes.
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