Get the free DC‐HIE DIRECT Messaging Organization Enrollment Form - dhcf dc

This document is used for enrolling an organization in the DC‐HIE DIRECT Messaging system. It collects information about the organization, the individuals associated with it, and the messaging preferences.

How to fill out dchie direct messaging organization

How to fill out DC‐HIE DIRECT Messaging Organization Enrollment Form

1. Obtain the DC-HIE DIRECT Messaging Organization Enrollment Form from the relevant website or office.
2. Fill in the organization’s legal name and address in the designated fields.
3. Provide contact information for the primary contact person, including phone number and email address.
4. Specify the type of organization (e.g., hospital, clinic, etc.) in the appropriate section.
5. Enter the organization's National Provider Identifier (NPI) number if applicable.
6. Indicate the desired level of access for DIRECT messaging services.
7. Review the form for accuracy and completeness.
8. Sign and date the form where indicated.
9. Submit the completed form through the specified submission method (email, fax, or online submission).

Who needs DC‐HIE DIRECT Messaging Organization Enrollment Form?

1. Healthcare organizations seeking to participate in DC-HIE for secure messaging.
2. Providers who need to exchange patient health information electronically.
3. Organizations looking to improve interoperability with other health networks.

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What is DC‐HIE DIRECT Messaging Organization Enrollment Form?

The DC‐HIE DIRECT Messaging Organization Enrollment Form is a document used to enroll organizations in the Direct Messaging service of the DC Health Information Exchange (DC-HIE), which allows secure email communication between healthcare providers.

Who is required to file DC‐HIE DIRECT Messaging Organization Enrollment Form?

Organizations that wish to participate in the DC Health Information Exchange and utilize DIRECT messaging for secure communication must file the DC‐HIE DIRECT Messaging Organization Enrollment Form.

How to fill out DC‐HIE DIRECT Messaging Organization Enrollment Form?

To fill out the DC‐HIE DIRECT Messaging Organization Enrollment Form, organizations need to provide relevant information such as their name, address, contact details, and the identities of authorized users who will access the Direct Messaging services.

What is the purpose of DC‐HIE DIRECT Messaging Organization Enrollment Form?

The purpose of the DC‐HIE DIRECT Messaging Organization Enrollment Form is to facilitate the enrollment process for organizations wishing to securely exchange health information through DIRECT messaging within the DC Health Information Exchange framework.

What information must be reported on DC‐HIE DIRECT Messaging Organization Enrollment Form?

The information required on the DC‐HIE DIRECT Messaging Organization Enrollment Form includes the organization's name, address, contact information, details of the designated responsible party, and any other details pertinent to the enrollment process.