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Provider Resources Provider Appeals Claims Clinical Form Submission Timelines Clinical Quality/Guidelines Quality Improvement Quarterly Performance Standards Notice of Privacy Practices Out-of-Network Packets ASHLink Extranet Healthy Backs 2020 Initiative Join our Provider Network Scholarship Program Find A Provider Professional Affairs Healthcare Advisory Committee Fitness Club Application Center FAQ New Jersey Policies	The documents provided below describe how we can use and disclose health information we have about your American Specialty Health (ASH) members and how ASH members can access that information. Please refer to the Notice of Privacy Practices (NPP) for details about our current privacy practices. Your ASH members may contact our Member Services department at (800) 678-9133 for any questions. To view and/or print these PDF documents you will need Acrobat Reader installed. Notice of Privacy Practices & Privacy Forms Notice of Privacy Practices (NPP) Authorization for Release of Protected Health Information Authorized Personal Representative Confidential Communications Form Privacy Complaint Request for Access to Protected Health Information Request for Accounting of Disclosure of Protected Health Information Request to Amend Protected Health Information Request for Restriction of Use/Disclosure of Protected Health Information Additional state and specialty specific forms, as well as other helpful resources, are available to participating providers through our ASHLink Extranet site.
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