Member Forms

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POS Claim Form

Authorization for Use and Disclosure of Protected Health Information

Grievance Form

Continuity of Care Form

Appointment of Representation

Member's Rights & Responsibilities

Pharmacy Reimbursement Claim Form

Member Handbook - Large group

51+ NHP Autism Amendment

Member Handbook - Small group

Deductible Credit Form

Resources

FAQs
Frequently Asked Questions 

United Behavioral Health (UBH)
Your mental health is just as important as your physical health. 

Healthy Pregnancy Program
Individual support for healthy babies and moms 

Links

Outpatient Rehab Therapy Provider Lookup
Find an NHP outpatient therapy provider 

Labcorp Inc. Find the Patient Service Center most convenient for you