Membership
Claims
Employers
- ER1: Employer Data Record
- ER2: Report of Employee-Members
- ER3: Employer Data Amendment Form
- RF1: Employer’s Remittance Report
Accreditation
Institutional
- IAF: Institutional Accreditation Form
- MMHR: Monthly Mandatory Hospital Report
- SOI: Statement of Intent for Hospital, ASC and FSDC
- SOI: Statement of Intent for OPB, MCP and DOTS Providers
