Changes to Forms for 0915-0126, National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners are outlined below:
Entity Registration:
Added new question in the Existing DBID section: “Is your organization already registered with the Data Banks?” The question is answered with a Yes/No radio button selection.
Entity Administrator section removed
Added new forms to incorporate identity proofing and e-authentication requirements stipulated in E-Authentication Guidance for Federal Agencies (OMB M-04-04) and National Institutes of Standards and Technology’s (NIST) Draft Special Publication 800-63-1, Electronic Authentication Guidelines. These include: “Instructions for Registering as an NPDB-HIPDB Certifying Official and Data Bank Administrator”, “Instructions for Registering as an NPDB-HIPDB Certifying Official”, and “Instructions for Registering as an NPDB-HIPDB User”.
Agent Registration:
Entity Administrator section removed
Added new form to incorporate identity proofing and e-authentication requirements stipulated in E-Authentication Guidance for Federal Agencies (OMB M-04-04) and National Institutes of Standards and Technology’s (NIST) Draft Special Publication 800-63-1, Electronic Authentication Guidelines, entitled “Instructions for Registering as an NPDB-HIPDB Entity/Authorized Agent Data Bank Administrator”.
Entity Registration Update:
No changes
Agent Registration Update:
No changes
Entity Registration Renewal:
No changes
Agent Registration Renewal:
No changes
Initial AAR:
No changes
Correction AAR:
No changes
Correction Legacy AAR:
No changes
Revision to Action AAR:
No changes
Explicit Query:
No changes
Subject Database (Individual):
No changes
Subject Database (Organization):
No changes
Self Query (Individual):
Removed Report Password Preference section
Removed Payment Information section
Added new form to incorporate identity proofing and e-authentication requirements stipulated in E-Authentication Guidance for Federal Agencies (OMB M-04-04) and National Institutes of Standards and Technology’s (NIST) Draft Special Publication 800-63-1, Electronic Authentication Guidelines, entitled “Instructions for Registering as an NPDB-HIPDB Self-Querier”.
Self Query (Organization):
Removed Report Password Preference section
Removed Payment Information section
Subject Dispute:
Added Home Address fields (Street Address, Address Line 2, City, State, ZIP, Country)
Added Work Address fields (Street Address, Address Line 2, City, State, ZIP, Country)
Secretarial Review:
Added Home Address fields (Street Address, Address Line 2, City, State, ZIP, Country)
Added Work Address fields (Street Address, Address Line 2, City, State, ZIP, Country)
Authorized Agent Designation:
New input: “Return responses to my entity via:” with 3 radio button options
Authorized Agent Designation Update:
New input: “Return responses to my entity via:” with 3 radio button options
Electronic Funds Transfer Authorization:
No changes
Account Discrepancy Form:
No changes
Initial Accreditation:
No changes
Accreditation Correction:
No changes
Accreditation Revision:
No changes
QIO Initial (now called Peer Review Organization Initial):
No changes
QIO Correction (now called Peer Review Organization Correction):
No changes
QIO Revision (now called Peer Review Organization Revision):
No changes
| File Type | application/msword |
| Author | Matt Bianchetti |
| Last Modified By | NSingh |
| File Modified | 2010-09-01 |
| File Created | 2010-09-01 |