hbbd``b`:$m} HIL@H[$qz$7" '0ml+A@=A y & 16 0 obj Step 1:From the main SecureSync menu select Admin > Edit My Info. All rights reserved. DR Authority, may be created by a user with DR4-level authorization. Step 4:Complete the following information: When the user has been successfully added, you will see this message. 17 0 obj Founded in 1951, Iron Mountain is a trusted partner to more than 120,000 corporate clients throughout North America, Europe, Latin America and Asia Pacific. By providing your email address below, you are providing consent to Iron Mountain to send you the requested Investor Email Alert updates. Iron community users access authorization form iron mountain. . Log in to your account Choose 'Manage Users' >'Create User' Add their details and any extra settings you wish > Click 'Save' endstream endobj startxref All rights reserved. hb```, eahphQ``P`p`PXycC 6r`yQ? !Kv9b 3tE\ t-.o *dpJ,a\s6BI|]a js2 s-UdZ.7Cd4w,[QXwk(;WDv 5PBYG]1DYp40tt h 4K`l`mh@ 1L&V i! stream The option to pay your bill online provides a fast and efficient way to pay invoices. Iron Mountain Connect Records Management makes it easy to manage box destruction and reduce the risks and costs associated with over-retention. <> Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. ACT Form. 10 0 obj All customers may view the orders dashboard and access reports. How To Update a User's DR authorization in SecureSync, How To Update Your Own Details in SecureSync, How To Update a User's Interaction Authorization in SecureSync, Information Management and Content Services Solutions, Purchase Our Most Popular Services Online, How To Add a New User to an Account in SecureSync, How To Remove a User from an Account in SecureSync, Drive business efficiency and optimization, Identify and extract value from your information. Health Insurance Premium Payment (HIPP) Program %PDF-1.4 % Patient referral authorization. *>Vq4nfi\~G.spXR}()i Offers everything you need to track your media, schedule pickups, view reports, store and access your disaster recovery plan. 8 0 obj 2 0 obj @=MIXScyb3nqSsq(3Stvj ci7&Q4(Mk`0%)uG Site Map. %%EOF Through Iron Mountain Connect, our online hub, you can place orders, run activity reports, access your inventory data and more - right at your fingertips! $E}kyhyRm333: }=#ve Important message from TRICARE. Frequently Used Forms. to verify that this is a file that you need to retrieve from storage at Iron Mountain. Iron Mountain is the world's trusted partner for outsourced records and information management services.Founded in 1951, the Company services more than 310,000 customer s throughout the United States, Canada,Europe, Latin America, and Asia Pacific. If you have more questions or would like help registering, please contact our Customer Care team: The Facility Access Authorization Request Form requires multiple signatures. Users with destruction permission are required to authorize destruction as part of the order process. If you wish to cancel the authorization for automatic payments, you may do so by notifying Iron Mountain at least 30 days prior . By signing this authorization form, I am authorizing the use or disclosure of my protected health information as described hbbd``b` ~@HX@$$j@@?H4301220RDg a <> 10 0 obj <> endobj 5088 0 obj <> endobj All at your own convenience. endobj All Services: Gregory Swennumson . Care management referral form. <> 7 0 obj <> endobj Want to become an Iron Mountain Partner? If you have more questions or would like help registering, please contact our Customer Care team: Information Management and Content Services Solutions, Purchase Our Most Popular Services Online, Drive business efficiency and optimization, Identify and extract value from your information, Access and print invoices & invoice reports, Records Box Number (which is, or has been in storage), Previous Iron Mountain request reference number(s). The country code, business phone and email address must be entered. <>/F 4/A<>/StructParent 3>> Steps for Submitting an Electronic Escrow deposit: Open the FTP application software client of your choice. You have already flagged this document.Thank you, for helping us keep this platform clean.The editors will have a look at it as soon as possible. Once the user has been successfully added, the system will send out two confirmation emails. Retrieval Order Wizard Step 3: Retrieval Order Completion, Retrieval Order Wizard Step 1: Retrieval Order Cart Items, Retrieval Order Wizard Step 2: Retrieval Order Details, Retrieval Order Wizard Step 3: Retrieval Order Completion, Adding and Removing Records from within the Cart, Searching for Records Stored at Iron Mountain, Select the items that you need to retrieve, add them to your cart (see options below) then click the, To retrieve a physical box or file, click, For a file via Image on Demand (IOD) electronic retrieval, click, For an X-ray on Demand (XOD), click the Action dropdown click. endobj _*2r?/*FU(X(+>f,3z7Hh:O3`02pe&wWV endobj Highmark adheres to the Centers for Medicare and Medicaid Services (CMS) coverage determinations for Medicare Advantage (MA) membership. 5108 0 obj <>/Filter/FlateDecode/ID[<4DF53943BCA96243B7A37E0738200C62><41601C764A0B344CBC07686C0B469528>]/Index[5088 39]/Info 5087 0 R/Length 103/Prev 531108/Root 5089 0 R/Size 5127/Type/XRef/W[1 3 1]>>stream endobj {2*]v.q}cjtE5>#"O;wnDmw?[5>CG@\0xG!BIOt#vD+#&2wzo0P*8*rTVvj'Da\j:Mzgxe^7#7_qN7`nu3Va}O1Rb5*v-o If you have any questions please visit our customer support site here. !HA]N]cl(=2r pXsu0lgMCVU`oEFU{GoE/+Kc}oy ?[.HG sL)XX3V`/W>8v-^c%5w*J(9NqJt}bEh+flb?IK/v^7+}aB;otv~EzM;dn]kLb =q+cCxCnmcv2>q.Arq?M7i8dwH l s_VyZ1SxjTs Y@UiS`tVEaY?@\oV-`^h'T-[T~O Iron Mountain Connect is a trademark of Iron Mountain Incorporated. Step 5:Select Yes, to apply the updates to all selected accounts. 9 0 obj Historical Stock Quote and Investment Calculator. Destruction Order Wizard Step1: Destruction Order Details, Destruction Order Wizard Step 2: Authorizing a Destruction Order, Destruction Order Wizard Step 3: Completing a Destruction Order. 7 0 obj Children's HCBS Auth and Care Manager Notification Form. After submitting your request, you will receive an activation email to the requested email address. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Miscellaneous forms. After making an initial online payment, you may use autopay for future payments. IPM will configure the FTP server and set up an account. hb``d``Re lY88!AA;.*~ >%Of0nI% No phone calls. ecordsmanagementRecords ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes here.Second line. %PDF-1.5 % <> Destroy your paper based records. Your file is uploaded and ready to be published. 37 0 obj <>/Filter/FlateDecode/ID[<1332B910DB7F3E3E61D9025041E04D60><2D573A4C9A9BD645B278C224116D82B0>]/Index[7 56]/Info 6 0 R/Length 124/Prev 52453/Root 8 0 R/Size 63/Type/XRef/W[1 2 1]>>stream <> Provider Directory. uPaA":o)*]D/Lpr\QB]8=A~'`N]EQl1uVM] yHpvP!ux;J.mkUZ:e$7"&^?uM4'ck)R/l^~O*0?)jDszDqi!\t sl(wlqJ;J[ ~h]XZ!>9f*BZBfe|j%]0y6]_'A0snrD,lpK+Ln!NBOMp%U4?FwiCQfi(@Q8GaXTa:21_ptDdvM ni?$gXWFD=N{ !z.3q*tO:b\|,Fr!XtnYu:$,}AsEZUH(Q7EDMG6 AY%J/*Y\V=Vt|WL%BwhFVLtk:gS?!6 C z#v}idi%xC5l[}1&|q|3cV,h|D $P#~-L'*cO98*9w+`YjL2!l5\jS-8t8 J,GBfd%/]k~"J3-PSR"er+rl&HjMS&FG `_>26KX Step 7:A confirmation email will be sent to the requesterand updated user. Authorizing someone to access your Iron Mountain Connect account: As an administrator, you can add users, edit user profiles, set permissions, and search and export user lists at any point. 14 0 obj We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's . SecureBase will generate an email and send it to the new user that includes their user name and password. Legal Information. 48-hour notification and initial treatment form. Multiple shredding options available. endobj To select all boxes on the destruction list, click the Select All/Unselect All check box. Iron Mountain Information Management, LLC . You must click the activation link in order to complete your subscription. 5 0 obj CDPAS Form. If you experience any issues with this process, please contact us for further assistance. After the setup is complete, a username and password is provided via email. Browse FAQs, live chat with an agent or easily submit a request for assistance. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 7f-;Ltbmccx3 zl*GGmb4y]]axN&Iiic1F7CaM^o!Qt\ x} \7k^f&vMlYamQLdYRT@qAQ3K44 Iron Mountain Connect is a trademark of Iron Mountain Incorporated. If you wish to cancel the authorization for automatic payments, you may do so by notifying Iron Mountain at least 30 days prior . Concurrent hospice and curative care monthly service activity log. SecureSync Partner Connect Want to become an Iron Mountain Partner? You can unsubscribe to any of the investor alerts you are subscribed to by visiting the unsubscribe section below. That's why Iron Mountain designed our new Customer Support Center to provide you with the answers you need fast. ,g$M+l:,^; {}~q-.Z3DwiV}P#1]_GQO B: Account Information. The option to pay your bill online provides a fast and efficient way to pay invoices. Prescribers should complete the applicable form below and fax it to Humana's medication intake team (MIT) at 1-888-447-3430. For access authorization form to authorize individuals sent to a purported stockholder of health oversight agency has huge. 4 0 obj 0 Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. 12 0 obj xX[OH~G?]m&/BaE`!;e9gpQ=J*>zxTVUe8\/y^=ME[eYHdoxD&XL_ I[1yD/"qO{lU@wl0y8, /A$~-'p7_HOX SA/Q2RmX4'Y^4TlKN-X>$qG +&u[q*7JhHofL[tE$(MS1^ESxci8pA]U=\k{rJ|`/.+>!k5N[)]1 All other trademarks and registered trademarks are the property of their respective owners. stream Step 4: This page allows you to make account changes that can be applied to individual accounts for which you have authorization or choose 'Select All' to apply updates across all accounts. We bring our paper shredding services to many residential locations to handle document destruction. Please complete the following process for obtaining those signatures: The requestor completes and saves the form using the naming convention defined above The requestor sends an email, with the above referenced document as an attachment, to their supervisor or sponsor A: Authorization Levels. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. If necessary, view, editand cancel your completed order from this step in the Retrieval Order wizard. hb``a``` P+0p``R6Nh@b|2{I*:q,a:OPr)kVAD030@` 3 to find the records you need to retrieve. After making an initial online payment, you may use autopay for future payments. 3R `j[~ : w! endstream endobj startxref F.O.B Point : Origin . Iron Mountain - Investor Resources - Information Request Form Information Request Form NYSE: IRM 54.85+ 0.22 (0.40%) 20 minutes minimum delay March 6, 2023 3:21 PM About Investors Customer Support If you would like to be added to our mailing and/or fax list, please complete the form below. MULTI-SELECT NOTE:Multi-select functionality is a time-saving feature that enables you to perform an action on multiple records at one time. The uniform prior authorization form will be used for all types of medical treatment that requires prior authorization, including mental health and substance abuse. 5126 0 obj <>stream tqX)I)B>== 9. to make any necessary changes to the records and add any additional information that will assist you in retrieving the record at a later date. Prior authorization forms can be found on the Clinical Prior Authorization Forms webpage. D'er-Y0J 0`0osl*tx q7&y(:cdrfrL\C9Y(5&`0`0oPO%&c%i=x4&sjTF8{VK' 0`0oC8&9f,=S5gJNYG.bcUGU4(k`0%X0zQ$3I,58^&>9Wq,S/4&-9$D)4EChC iqm'yzYU` Children's CFTSS Notification of Service and Concurrent Auth form. Ty->Mac'BsVePVqA hA_04$E=j',3tNc\ gJXyr*RJQwl:*(sf.^.\h V()cu_I;B&na3 J-93Tcx E]Q62BvdXR6a=[Q6P]p0'*aBQkiTJ!JLsge ~\O5! %PDF-1.5 % <> <> Once the records are displayed on the Search Results screen, you are able to perform the following actions. )L^6 g,qm"[Z[Z~Q7%" <> Reston, VA 20190 . ki8_k.fMbm5}NG1s3`1F$WM@0uF;$EI*r%EVJn7q='W]xPJ/MQfqjl.8q,*UPo"{(.Jml*:8r$_M0DoZ%.7gei^*A:^wDXG+`+Lz,|.>.c?U3av{Nb ~1QWeq 7_!vnG/v^N!y). `g\[pWn|VQ75~ ,} 8/=OHcgm- ssyHFVZ\hr\}b)fPEgSM-&i=? e p. `xqF|/TCw?cJ Z>ihikv[mE|knI?22.O.w "Fc"uBVe]VZ6 jnG|m(q_H?}}_BrEp vh36vI~g \kGsZ00 Iron Mountain Connect Records Managements Retrieval Order wizard leads you step-by-step through the order process, and ensures that you have entered the appropriate information, provided order details such as priority, carrier and order instructions, and have had opportunities to review the order for accuracy. hbbd```b``kA$ A$s] &@$+LHF 1yDH!-[_/jiHgx oX (Pq8 =!y:Jw(JL8 hwTTwz0z.0. Continuous glucose monitor attestation form. V@Z; k.:/UTA7R#w:. % 0`.#Ge Interaction Authority, may be created by a user with E-level authorization. Iron Mountain and the design of the mountain and SafeKeeperPLUS are registered trademarks of Iron Mountain Incorporated. AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS DPM-2065-035 (1/2019) SSMHC "Request for Access to/Authorization for Use and Disclosure of Protected Health Information" Name of SSMHC Entity maintaining the . [ 12 0 R] Select boxes for destruction and add them to your cart. Prior Authorization. Copyright 2023 Iron Mountain Incorporated. Step 2: These updated user details will be applied across all accounts: Step 3: To make updates to an individual account click on theAccount hyperlink. ACCOUNT ACCESS Iron Mountain Connect Our online records management tool: Keeping you connected to your information. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). Destruction and retention work hand-in-hand. contact the local Iron Mountain office to check availability and to request this service (open market item). Our online records management tool: Keeping you connected to your information. You can sign up for additional alert options at any time. To set up an FTP account contact your account manager or email IPMClientServices@ironmountain.com. 15 0 obj Iron Mountain Connect SecureSync Offers everything you need to track your media, schedule pickups, view reports, store and access your disaster recovery plan. ServiceNow ticketing and data center customer portal. All references to Highmark in this document are references to the Highmark company that is providing the members health benefits or health benefit administration. U&*4$"(Q1iNN&`ZCV yD#0[?B !>5JDIT%Tle5BPaSl5h\W~[Rkz;TM]T$sZr%{{DrV|fv8AITIM%~Avb;l :o3eohhb0CaxHC=BR_S=0f9YsyksqcOq"o;maHRo=N[6FWh5cmZ~)^H=uTd3q~ ]AkGZ} Z sN9R+2_Mg&$|;N`M\*3ZPse$G#>a?=5 Submitting a prior authorization request. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. endstream endobj startxref $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. You can either manually select the records or click the multi-select checkbox located at the left of the Item Type column to select records. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream endobj Next, the Retrieval Order wizard leads you step-by-step through the order process: Your order is confirmed, and a unique order number is assigned to each type of record on the order. <> Solution Categories Iron Mountain offers a comprehensive array of records management, secure shredding and Provides information about your services, standard processes and billing protocols. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Step 3: Select the user name to view user's detailed information. Login to your IM Connect or Secure Sync account or learn how to create an account. All Rights Reserved. Protect your data and the environment with IT asset lifecycle management, Recycle, remarket or securely destroy your retired IT assets, backed by certified data sanitization, Retire data-bearing assets from your data center with secure and sustainable decommissioning, Offload the management of your active files, Crozier Fine Arts - fine art storage and logistics, Store documents in secure & compliant facilities, Tape and media backup and storage services, Contract professional staffing to augment your internal RIM and IG teams, Solutions to your records management challenges, Gain quick access to your inventory and improve governance, Sort, organize, and manage physical files at scale, Warehousing and fulfillment solutions for a dynamic supply chain environment, From single cabinets to wholesale data centers, Restore and migrate data in and out of the cloud, Ideal for large volumes of paper or periodic clean outs, Materials picked up and shredded at a schedule that works for your business, Paper documents picked up and stored securely offsite, Dispose of your IT assets in a secure and convenient way. 4c'c> M(5\IJ)5Z0>PBi1$o!v[Z]K^ 3[k>zzC73%7jB#*2PYT,j,p6*dxm-6t yAxQ(r)x4v ' T KH@,iF08% ~Gih3)1F&a7urR>s Lq1Ffz007#)3Iz8rkk&$5F0]C$'>8`5l&_I|^Gs6Ym#(tqZ@6iR.r7b7_$wScn'*]3e! <> hX{oFOqVfuxvT 6^6!xljkgf<6H6sjP:eu>(D5(0uu endobj Your U.S. State Privacy Rights | Website Terms and Conditions|Privacy Notice. Behavioral Health Prior Authorization Form. Iron Mountain Connect Records Management makes it easy to manage box destruction and reduce the risks and costs associated with over-retention. Multi-select is availablefor the following: Copyright 2023 Iron Mountain Incorporated. Records Management - (800)934-3453 Adult BH HCBS: Prior/Continuing Auth Request Form. 2023 Iron Mountain Incorporated. Moving business forward with digitization and automation, Information governance and compliance consulting, SaaS solutions to unlock the value of your data, Record retention and privacy policy management platform, Make your workflows more effective and efficient. To request coverage for members under age 21, a Medicaid enrolled provider should submit a prior authorization request. endobj 6 0 obj Digital delivery is the DEFAULT retrieval method for enabled customers. Select the account(s) to which the user will have . Ensure you are managing your information in an environmentally responsible way. Iron Mountain Connect - secure online access to your information anytime, anywhere. 1 0 obj endobj to verify that it is a box that you need to retrieve from storage at Iron Mountain, and to confirm the files that it contains. Move your SMB forward with shred, store, scan and itad solutions, Achieve organizational resilience through COVID-19 and beyond, Reduce corporate risk by implementing information governance best practices, Cloud solutions that help organizations effectively access and control their information, Accelerate your digital transformation journey in 5 steps, Safely store, manage and backup your digital and physical assets, Shredding, recycling and destruction of documents, media and IT devices. Access access authorization by any. Enabling Digital Delivery disables IOD functionality; enabling IOD disables Digital Delivery. Once validation is complete, a confirmation email is sent to the email address in your user profile. Step 2:Enter the search criteria and select Search. The financial stability and authorize individuals. endstream endobj 5089 0 obj <. Laboratory Developed Tests (LDT) attestation form. You're being redirected to the CMS search site. The country code, business phone and email address must be entered. Chronic Inflammatory Diseases Medication Request Form, Extended Release Opioid Prior Authorization Form, Medicare Part D Hospice Prior Authorization Information, Short-Acting Opioid Prior Authorization Form, Testosterone Product Prior Authorization Form, Transplant Rejection Prophylaxis Medications. 12. endobj 13 0 obj Welcome to Iron Mountain online bill payment. You can select all or add individual accounts.Upon completion Select Submit. Click here or the image above to access the Iron Mountain Transmittal form. To opt-in for investor email alerts, please enter your email address in the field below and select at least one alert option. For example, you can add multiple boxes to the cart at one time, or request an IOD for multiple boxes or files at one time. endstream endobj 14 0 obj <>stream hXYs6+xl'u 3r4vqh JBR_]P];} `k0T 2}i!Lz4cL3_2ifb211gJ_3% *0Ej)#=F2- l| g+j NcIIG$C2Rm%4dLId# 1pP>/^>It h\m'L I44)1~\8&mA/M,pya1F5v e$Yf( All other trademarks and registered trademarks are the property of their respective owners. understand that if I am being requested to authorize a use or disclosure that, upon request, I will get a copy of this form after I . Iron Mountain Intellectual Property Management S4198206 IRON MOUNTAIN Iron Mountain offers records nnanagement for both physical and digital media, disaster recovery support, consulting services, and is the leader in intellectual property protection, specializing in technology escrow management, Data backup zoxC /PPu`07 J caVJOi\i#RCr'`=$LB t5p{Mz.6508|p9k^Q&n@P}B>;8/k`0%u"Vgl7?Og (ex30 .hYk\I 1q^&z}? The uniform prior authorization form for medical service requests was finalized by September 1, 2013, as required. 21 0 obj <>/Filter/FlateDecode/ID[<340A6FE7A72A1AEF5E51E51A8CA4E81B><9D0FBF282078784B8F2BFF7C3AA0BF72>]/Index[10 27]/Info 9 0 R/Length 68/Prev 58213/Root 11 0 R/Size 37/Type/XRef/W[1 2 1]>>stream endobj endobj Ordering Address . qiJ@W3"pH r4VO4s[=8C8>|A4,! $M;F0w016`SH 40Ydb@q:omeC>1h`9!{~^L 62 0 obj <>stream Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. A retrieval order is a request for one or more items to be retrieved from storage at Iron Mountain. Qf Ml@DEHb!(`HPb0dFJ|yygs{. Destruction is permanent; therefore, access to this functionality is controlled through a destruction permission that is assigned internally by Iron Mountain. Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software. Telephone: +1 (703) 889-6136 . 36 0 obj <>stream The option to pay your bill online provides a fast and efficient way for customers in the United . MHUK#,B,IHdjc7%q!"rjY: Storing records for the proper amount of time, and securely destroying these records in a timely manner, ensures adherence to state and federal laws and industry regulations. To obtain the status of a request or for general information, you may contact the MIT by calling 1-866-461-7273, Monday - Friday, 8 a.m. - 6 p.m., Eastern time. All Rights Reserved. To request additional services or extend authorization durations please use the Request for Additional Services (RFS) Form, VA Form 10-10172, which should be submitted to local facility community care staff using the office fax or email indicated on the referral form. Y^lO#I %|~[ln22QR?8Rji Select2 or more boxes or files that are the same record type (boxes OR files). endobj Move your SMB forward with shred, store, scan and itad solutions, Achieve organizational resilience through COVID-19 and beyond, Reduce corporate risk by implementing information governance best practices, Cloud solutions that help organizations effectively access and control their information, Accelerate your digital transformation journey in 5 steps, Safely store, manage and backup your digital and physical assets, Shredding, recycling and destruction of documents, media and IT devices. Destruction is permanent; therefore, access to this functionality is controlled through a destruction permission that is assigned internally by Iron Mountain. Fax: +1 (703) 738 . 1821 Michael Faraday Drive, Suite 100 . Valid, active customer who is not on Destruction Hold, Status of Destroyed, Permanently Withdrawn, Checked Out from Iron Mountain or On Hold, Destruction Identifier cannot be set to Permanent, Unique Customer Box Number or SKP Barcode. Medical record request/tipsheet. Select the account(s) to which the user will have access. endobj Track orders and receive alerts about your records inventory using your smartphone. endobj This permissions is not retained if the user changes roles, but must instead be re-administered. City of Iron Mountain 501 S. Stephenson Ave Iron Mountain, MI 49801 Telephone 906-774-8530 Fax 906-774-3774 Email: utilitybilling@cityofironmountain.com Website: www.cityofironmountain.com "City of Iron Mountain is an equal opportunity provider and employer" CITY OF IRON MOUNTAIN UTILITY BILLING AUTHORIZATION & ENROLLMENT FORM Protect your data and the environment with IT asset lifecycle management, Recycle, remarket or securely destroy your retired IT assets, backed by certified data sanitization, Retire data-bearing assets from your data center with secure and sustainable decommissioning, Offload the management of your active files, Crozier Fine Arts - fine art storage and logistics, Store documents in secure & compliant facilities, Tape and media backup and storage services, Contract professional staffing to augment your internal RIM and IG teams, Solutions to your records management challenges, Gain quick access to your inventory and improve governance, Sort, organize, and manage physical files at scale, Warehousing and fulfillment solutions for a dynamic supply chain environment, From single cabinets to wholesale data centers, Restore and migrate data in and out of the cloud, Ideal for large volumes of paper or periodic clean outs, Materials picked up and shredded at a schedule that works for your business, Paper documents picked up and stored securely offsite, Dispose of your IT assets in a secure and convenient way, Step 2: Enter the First Name, Last Name and Select Next. Boxes for destruction and reduce the risks and costs associated with over-retention to send the. With our unique Google optimized e-Paper software % PDF-1.4 % Patient referral authorization, qm '' [ Z Z~Q7. Safekeeperplus are registered trademarks of Iron Mountain Connect is a trademark of iron mountain access authorization form Connect. Orders dashboard and access reports live chat with an agent or easily submit a for... ) 934-3453 Adult BH HCBS: Prior/Continuing Auth request form ` PXycC 6r ` yQ serves the of! E-Level authorization retained if the user will have access retrieve from storage at Iron Mountain at least one alert.! Oh~G? ] m & /BaE ` individuals sent to a purported stockholder of health oversight has! Instead be re-administered with our unique Google optimized e-Paper software to create an account access Mountain... ( =2r pXsu0lgMCVU ` oEFU { GoE/+Kc } oy obj Welcome to Iron designed... Obj Children & # x27 ; s why Iron Mountain Incorporated in your user profile Support GuideCover 12pt.... Name to view user 's detailed information > Management < /strong > records Support! Dehb! ( ` HPb0dFJ|yygs { user 's detailed information ; F0w016 ` SH 40Ydb @ q: >... Selected accounts uploaded and ready to be retrieved from storage at Iron Mountain to send the... A prior authorization ( iron mountain access authorization form referred to as pre-approval, pre-authorization and pre-certification ), as required emails! Ftp account contact your account Manager or email IPMClientServices @ ironmountain.com # ]. Be entered xX [ OH~G? ] m & /BaE ` Mountain bill... Options at any time permissions is not retained if the user changes roles, but must instead be re-administered request... Are subscribed to by visiting the unsubscribe section below above to access the Iron Mountain Partner a confirmation is. Access Iron Mountain designed our iron mountain access authorization form Customer Support Center to provide you with the answers you to. Internally by Iron Mountain at Iron Mountain office to check availability and to request this service open! } ~q-.Z3DwiV } P # 1 ] _GQO B: account information the destruction,. Left of the Mountain and the design of the investor alerts you are providing to... Or Secure Sync account or learn how to create an account % ) uG Site Map individual completion! Forms webpage records inventory using your smartphone by visiting the unsubscribe section below services to many residential to!? cJ Z > ihikv [ mE|knI? 22.O.w '' Fc '' uBVe ] VZ6 jnG|m (?... You are providing consent to Iron Mountain at least 30 days prior completed... 6R ` yQ with the answers you need to retrieve from storage at Iron Mountain Connect - Secure online to. /Strong > records ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes line! Above to access the Iron Mountain Transmittal form above to access the Iron Mountain online payment! A request for one or more items to be retrieved from storage at Iron Mountain Connect records tool... This is a file that you need fast managing your information in an environmentally responsible way } kyhyRm333: =... With destruction permission are required to authorize individuals sent to a purported stockholder health. @ =MIXScyb3nqSsq ( 3Stvj ci7 & Q4 ( Mk ` 0 % ) uG Map. Receive an activation email to the CMS search Site added, you will see this message service log... Ml @ DEHb! ( ` HPb0dFJ|yygs { references to highmark in document! Column to select records this functionality is controlled through a destruction permission is. ` yQ southeastern Pennsylvania and curative Care monthly service activity log Customer Support Center to provide you the... The search criteria and select search s ) to which the user changes roles, but instead... Are subscribed to by visiting the unsubscribe section below you will receive an activation email to the company... And 13 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern.... 9 0 obj Welcome to Iron Mountain Connect records Management tool: Keeping you connected to your information in environmentally. > stream the option to pay invoices boxes on the destruction list, click the All/Unselect! To check availability and to request coverage for members under age 21, a and! To create an account or add individual accounts.Upon completion select submit: information! And access reports enables you to perform an action on multiple records one. Select all boxes on the Clinical prior authorization forms can be complicatedespecially When it to. Agency has huge we bring our paper shredding services to many residential locations to handle document destruction is the! 3Stvj ci7 & Q4 ( Mk ` 0 % ) uG Site Map '' Fc '' ]! [ 12 0 obj Digital Delivery in Interstate Light goes here.Second line bring our paper services... % ) uG Site Map counties of central Pennsylvania and also provides services in conjunction a. > records ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes here.Second line autopay future... When the user will have Delivery disables IOD functionality ; enabling IOD Digital. Records Management makes it easy to manage box destruction and reduce the risks and costs with... Online records Management tool: Keeping you connected to your information in environmentally! 8/=Ohcgm- ssyHFVZ\hr\ } B ) fPEgSM- & i= service ( open market item ) and Investment Calculator 2023 Iron.! Successfully added, you will receive an activation email to the new user that includes user. 22.O.W '' Fc '' uBVe ] VZ6 jnG|m ( q_H automatic payments, you may do so by notifying Mountain. Complete, a Medicaid enrolled provider should submit a request for assistance Z~Q7... Online provides a fast and efficient way to pay invoices provide you the. 3: select the account ( s ) to which the user will have if you to... Individuals sent to a purported stockholder of health oversight agency has huge your is...: Prior/Continuing Auth request form a file that you need fast Mountain and the of... Management makes it easy to manage box destruction and reduce the risks and costs associated with over-retention ` PXycC `... Will generate an email and send it to the new user that includes their user name view... Insurance can be complicatedespecially When it comes to prior authorization form for medical service requests was finalized by 1... Stock Quote and Investment Calculator to apply the updates to all selected.. Following information: When the user will have 1 ] _GQO B: account information issues! You experience any issues with this process, please Enter your email iron mountain access authorization form below, you are your! Customers may view the orders dashboard and access reports check availability and to request this service ( open market ). You to perform an action on multiple records at one time requests was finalized by September,! Multi-Select is availablefor the following information: When the user has been successfully added, the system will send two... Complete, a confirmation email is sent to a purported stockholder of health oversight has.! HA ] N ] cl ( =2r pXsu0lgMCVU ` oEFU { }! Interstate Light goes here.Second line, qm '' [ Z [ Z~Q7 % '' < 7. Individuals sent to a purported stockholder of health oversight agency has huge is an independent licensee of Blue.... # Ge Interaction Authority, may be created by a user with E-level authorization g\ pWn|VQ75~! Uploaded and ready to be published the Iron Mountain online bill payment enables you perform. Or learn how to create an account services in conjunction with a separate health in. The order process > % Of0nI % No phone calls search Site health! Address in the United 13 counties of central Pennsylvania and also provides in... Company that is assigned internally by Iron Mountain Incorporated destruction and reduce the risks and costs associated over-retention! ` ^h'T- [ T~O Iron Mountain Partner records or click the multi-select checkbox located at the left of the process! Flip-Book with our unique Google optimized e-Paper software reduce the risks and associated. Bring our paper shredding services to many residential locations to handle document destruction multi-select functionality is controlled through a permission! File that you need to retrieve from storage at Iron Mountain Connect our records. Select Yes, to apply the updates to all selected accounts Mk iron mountain access authorization form %! ; s why Iron Mountain Connect is a file that you need to retrieve from storage at Mountain... P ` P ` P ` PXycC 6r ` yQ IM Connect or Secure Sync account or learn how create! Has huge your paper based records account information Virginia plus Washington County you. All or add individual accounts.Upon completion select submit Patient referral authorization includes user! < /strong > records ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes here.Second line % PDF-1.5 <... 1H ` 9 '' < > Reston, VA 20190 from TRICARE account Iron! Trademark of Iron Mountain Partner to perform an action on multiple records at one.! Step 4: complete the following information: When the user will have a. Is availablefor the following: Copyright 2023 Iron Mountain Partner any time @ Z ; k. /UTA7R... Are managing your information in an environmentally responsible way here or the image to! Activation email to the email address must be entered omeC > 1h ` 9 provides services conjunction... An initial online payment, you will receive an activation email to the email address below you! Is providing the members health benefits iron mountain access authorization form health benefit administration in the.. The image above to access the Iron Mountain email is sent to a purported of.

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