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. The option to pay your bill online provides a fast and efficient way for customers in the United . 4 0 obj endstream endobj 8 0 obj <> endobj 9 0 obj <>/Rotate 0/Type/Page>> endobj 10 0 obj <>stream 2023 Iron Mountain Incorporated. Once the user has been successfully added, the system will send out two confirmation emails. endobj endobj IPM will configure the FTP server and set up an account. Offers everything you need to track your media, schedule pickups, view reports, store and access your disaster recovery plan. To select all boxes on the destruction list, click the Select All/Unselect All check box. <>/F 4/A<>/StructParent 1>> 36 0 obj <>stream @=MIXScyb3nqSsq(3Stvj ci7&Q4(Mk`0%)uG FAA Regulations Forms Handbooks Manuals Notices to Airmen NOTAMS. Patient referral authorization. The country code, business phone and email address must be entered. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. 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. Login to your IM Connect or Secure Sync account or learn how to create an account. stream Step 2:Enter the search criteria and select Search. If necessary, view, editand cancel your completed order from this step in the Retrieval Order wizard. Adult BH HCBS: Prior/Continuing Auth Request Form. <> 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. DR Authority, may be created by a user with DR4-level authorization. %PDF-1.4 % Submitting a prior authorization request. 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. **For best results, print the form on legal sized paper** CITY OF HAMPTON, IT DEPARTMENT Page 2 of 4 Records Storage Procedures (Rev 03/2018) RECOMMENDED PROCESS The following process is recommended for completing these forms and boxing your records. <>/F 4/A<>/StructParent 2>> Frequently Used Forms. Purchase one-time bulk shred pickup services from the best in the business. <> 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 After making an initial online payment, you may use autopay for future payments. <> 7f-;Ltbmccx3 zl*GGmb4y]]axN&Iiic1F7CaM^o!Qt\ Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. The Facility Access Authorization Request Form requires multiple signatures. W4,7d?g{0p0(~3ya>;B0`0`0`0`0J|2`0RS7 `0(E0%a0J|2`0RS7 `0(E0%a0J|2`0RS7 `0(E0%a0J`0$d `0AIF5`0 x0k`0%?!b{7r(kpwvgZ4N_w) Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software. 21 0 obj <>/Filter/FlateDecode/ID[<340A6FE7A72A1AEF5E51E51A8CA4E81B><9D0FBF282078784B8F2BFF7C3AA0BF72>]/Index[10 27]/Info 9 0 R/Length 68/Prev 58213/Root 11 0 R/Size 37/Type/XRef/W[1 2 1]>>stream <> Highmark adheres to the Centers for Medicare and Medicaid Services (CMS) coverage determinations for Medicare Advantage (MA) membership. xX[OH~G?]m&/BaE`!;e9gpQ=J*>zxTVUe8\/y^=ME[eYHdoxD&XL_ I[1yD/"qO{lU@wl0y8, /A$~-'p7_HOX SA/Q2RmX4'Y^4TlKN-X>$qG +&u[q*7JhHofL[tE$(MS1^ESxci8pA]U=\k{rJ|`/.+>!k5N[)]1 17 0 obj You can sign up for additional alert options at any time. %%EOF 0 Enabling Digital Delivery disables IOD functionality; enabling IOD disables Digital Delivery. 14 0 obj The option to pay your bill online provides a fast and efficient way to pay invoices. 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. 13 0 obj Solution Categories Iron Mountain offers a comprehensive array of records management, secure shredding and Ordering Address . Important message from TRICARE. stream 0 Iron Mountain Connect Records Management makes it easy to manage box destruction and reduce the risks and costs associated with over-retention. 0`.#Ge A: Authorization Levels. endobj Step 4: Click on the Account hyperlink. endobj Once the records are displayed on the Search Results screen, you are able to perform the following actions. Destruction is the final, necessary stage in a boxs lifecycle and a key component of your organizations retention program. Care management referral form. Health Insurance Premium Payment (HIPP) Program Iron community users access authorization form iron mountain. 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. The uniform prior authorization form will be used for all types of medical treatment that requires prior authorization, including mental health and substance abuse. Iron Mountain Connect Records Management makes it easy to manage box destruction and reduce the risks and costs associated with over-retention. We bring our paper shredding services to many residential locations to handle document destruction. Miscellaneous forms. Want to become an Iron Mountain Partner? Iron Mountain Connect Records Management's 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. endobj 12 0 obj To request coverage for members under age 21, a Medicaid enrolled provider should submit a prior authorization request. )L^6 g,qm"[Z[Z~Q7%" Historical Stock Quote and Investment Calculator. Legal Information. %PDF-1.5 % 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. No phone calls. 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` Telephone: +1 (703) 889-6136 . SecureSync Partner Connect Want to become an Iron Mountain Partner? hb``d``Re lY88!AA;.*~ >%Of0nI% Continuous glucose monitor attestation form. Performing this action will revert the following features to their default settings: Hooray! endstream endobj startxref *>Vq4nfi\~G.spXR}()i Copyright 2023 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 . All Rights Reserved. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Destruction and retention work hand-in-hand. 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 <> endobj 13a. The uniform prior authorization form for medical service requests was finalized by September 1, 2013, as required. All other trademarks and registered trademarks are the property of their respective owners. Site Map. 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{ Ensure you are managing your information in an environmentally responsible way. To set up an FTP account contact your account manager or email IPMClientServices@ironmountain.com. The option to pay your bill online provides a fast and efficient way to pay invoices. Select2 or more boxes or files that are the same record type (boxes OR files). 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. We bring our paper shredding services to many residential locations to handle document destruction. Our online records management tool: Keeping you connected to your information. 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. endstream endobj startxref 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. You can unsubscribe to any of the investor alerts you are subscribed to by visiting the unsubscribe section below. Iron Mountain Connect is a trademark of Iron Mountain Incorporated. <> Click here or the image above to access the Iron Mountain Transmittal form. If you have more questions or would like help registering, please contact our Customer Care team: 62 0 obj <>stream No waiting. Concurrent hospice and curative care monthly service activity log. If you wish to cancel the authorization for automatic payments, you may do so by notifying Iron Mountain at least 30 days prior . 0 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. Browse FAQs, live chat with an agent or easily submit a request for assistance. hbbd``b` ~@HX@$$j@@?H4301220RDg a Customers with a program may submit new orders. [ 12 0 R] All customers may view the orders dashboard and access reports. Multi-select is availablefor the following: 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. hVYoH+hEH#$Cis(nFB<8C6 I\K"\O$`D:>L Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. to verify that this is a file that you need to retrieve from storage at Iron Mountain. !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 Track orders and receive alerts about your records inventory using your smartphone. . 8 0 obj endstream endobj 15 0 obj <>stream 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. After the setup is complete, a username and password is provided via email. 3 0 obj All references to Highmark in this document are references to the Highmark company that is providing the members health benefits or health benefit administration. 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. Through Iron Mountain Connect, our online hub, you can place orders, run activity reports, access your inventory data and more - right at your fingertips! Welcome to Iron Mountain online bill payment. 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. <> Step 1:From the main SecureSync menu select Authorization > Search Users. tqX)I)B>== 9. Provider Directory. ecordsmanagementRecords ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes here.Second line. (You will be able to select All Accounts on the next screen.). 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. After making an initial online payment, you may use autopay for future payments. Multiple shredding options available. 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 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. B: Account Information. 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_$wScn'*]3e! 1 0 obj hb``a``` P+0p``R6Nh@b|2{I*:q,a:OPr)kVAD030@` 3 Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. MHUK#,B,IHdjc7%q!"rjY: Welcome to Iron Mountain online bill payment. Records Management - (800)934-3453 11 0 obj For example, you can add multiple boxes to the cart at one time, or request an IOD for multiple boxes or files at one time. hbbd``b`:$m} HIL@H[$qz$7" '0ml+A@=A y & Provides information about your services, standard processes and billing protocols. Select the account(s) to which the user will have access. 16 0 obj Fax: +1 (703) 738 . Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. For more information, please visit our Web site at www.ironmountain.com. Step 5:Select Yes, to apply the updates to all selected accounts. All Rights Reserved. Are you sure you want to delete your template? YvnU@!Zv|AkhCtDI$;?j5WdLVB ]uXRy cYW_?Tv\4PqTX~;;natZ/! Qf Ml@DEHb!(`HPb0dFJ|yygs{. <>/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>> endobj That's why Iron Mountain designed our new Customer Support Center to provide you with the answers you need fast. qiJ@W3"pH r4VO4s[=8C8>|A4,! $M;F0w016`SH 40Ydb@q:omeC>1h`9!{~^L For access authorization form to authorize individuals sent to a purported stockholder of health oversight agency has huge. endobj Change TIN 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. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's . 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 Prescribers should complete the applicable form below and fax it to Humana's medication intake team (MIT) at 1-888-447-3430. Attention: Iron Mountain is going paperless!Moving forward, you will no longer be receiving invoices in the mail.Enroll in our Invoice Gateway here to continue receiving invoices. 7 0 obj All rights reserved. endobj . <> x} \7k^f&vMlYamQLdYRT@qAQ3K44 Click here and request community access for Partner Connect. Destroy your paper based records. 18 0 obj Reston, VA 20190 . Digital delivery is limited to files; boxes cannot be digitized. % endstream endobj startxref To opt-in for investor email alerts, please enter your email address in the field below and select at least one alert option. endobj (Pq8 =!y:Jw(JL8 12. to find the records you need to retrieve. <> All at your own convenience. Access access authorization by any. 7 0 obj <> endobj Y^lO#I %|~[ln22QR?8Rji DR Authority, may be created by a user with DR4-level authorization. Behavioral Health Prior Authorization Form. _*2r?/*FU(X(+>f,3z7Hh:O3`02pe&wWV g=)]3Z5m\_xc'6IDl[6Xa_m9J8(JtJ54tE\!Mu9wWDR1TV5NAN=]o+^$yI&,O5iZYWxi(O=j+jU*JyJx8P=-t&pzHkFImn |7j{? Iron Mountain and the design of the mountain and SafeKeeperPLUS are registered trademarks of Iron Mountain Incorporated. All rights reserved. ServiceNow ticketing and data center customer portal. Multiple shredding options available. 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 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. Visibility, access and control of your physical and digital information. F.O.B Point : Origin . MULTI-SELECT NOTE:Multi-select functionality is a time-saving feature that enables you to perform an action on multiple records at one time. 5 0 obj Destruction is permanent; therefore, access to this functionality is controlled through a destruction permission that is assigned internally by Iron Mountain. After submitting your request, you will receive an activation email to the requested email address. Welcome to Iron Mountain online bill payment. 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. Iron Mountain Incorporated. This permissions is not retained if the user changes roles, but must instead be re-administered. %%EOF Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. All Services: Gregory Swennumson . J-93Tcx E]Q62BvdXR6a=[Q6P]p0'*aBQkiTJ!JLsge ~\O5! endstream endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>stream Iron Mountain Connect is a trademark of Iron Mountain Incorporated. %PDF-1.5 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. endstream SecureBase will generate an email and send it to the new user that includes their user name and password. Once validation is complete, a confirmation email is sent to the email address in your user profile. 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. 1821 Michael Faraday Drive, Suite 100 . !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 k[AgLm~TAMlJ|6w!c e23B8*Pz $h:IkNJ'c!g"j%7-I Prior authorization forms can be found on the Clinical Prior Authorization Forms webpage. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. endobj endobj Step 4: This page allows you to make account changes that can be applied to individual accounts for which you have authorization or choose 'Select All' to apply updates across all accounts. 5126 0 obj <>stream Users with destruction permission are required to authorize destruction as part of the order process. %PDF-1.5 % hipaa authorization form for release of protected health information form must be completed in its entirety or it will be returned: iron mountain roi, 3900 nome st unit j, denver co 80239 . Ty->Mac'BsVePVqA hA_04$E=j',3tNc\ gJXyr*RJQwl:*(sf.^.\h V()cu_I;B&na3 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( Destruction is permanent; therefore, access to this functionality is controlled through a destruction permission that is assigned internally by Iron Mountain. hX{oFOqVfuxvT 6^6!xljkgf<6H6sjP:eu>(D5(0uu 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 . hbbd```b``kA$ A$s] &@$+LHF 1yDH!-[_/jiHgx oX Iron Mountain Connect - secure online access to your information anytime, anywhere. Pay My Bill > Account Maintenance Account Support Billing SecureSync Iron Mountain Connect No login credentials? Only customers enabled for Digital Delivery via Iron Mountain InSight will see the Digital Delivery option. 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 If you experience any issues with this process, please contact us for further assistance. Your U.S. State Privacy Rights | Website Terms and Conditions|Privacy Notice. <>>> 10 0 obj <> endobj 9 0 obj <>/F 4/A<>/StructParent 3>> $E}kyhyRm333: }=#ve Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). endobj Children's CFTSS Notification of Service and Concurrent Auth form. {2*]v.q}cjtE5>#"O;wnDmw?[5>CG@\0xG!BIOt#vD+#&2wzo0P*8*rTVvj'Da\j:Mzgxe^7#7_qN7`nu3Va}O1Rb5*v-o Your file is uploaded and ready to be published. %%EOF ACCOUNT ACCESS Iron Mountain Connect Our online records management tool: Keeping you connected to your information. Digital delivery is the DEFAULT retrieval method for enabled customers. 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 6 0 obj <> endobj Step 3: Select the user name to view user's detailed information. CDPAS Form. Laboratory Developed Tests (LDT) attestation form. Prior Authorization. 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. Above to access the Iron Mountain at least 30 days prior > management < /strong > records ManagementCustomer GuideCover... The Digital Delivery is limited to files ; boxes can not be digitized multiple signatures document destruction Investment! May do so by notifying Iron Mountain Connect records management makes it easy manage... To pay your bill online provides a fast and efficient way to pay your bill online provides fast. Purported stockholder of health oversight agency has huge that includes their user name password. Ecords < strong > management < /strong > records ManagementCustomer Support GuideCover 12pt.! Everything you need to retrieve strong > management < /strong > records ManagementCustomer Support GuideCover subhead 12pt. set...? cJ Z > ihikv [ mE|knI? 22.O.w '' Fc '' uBVe ] VZ6 jnG|m ( q_H to! Feature that enables you to perform the following: Copyright 2023 Iron Mountain Incorporated Type. /Bae ` either manually select the account hyperlink ] cl ( =2r pXsu0lgMCVU ` oEFU { }... Destruction is the default Retrieval method for enabled customers respective owners ` [... { GoE/+Kc } oy 5: select Yes, to apply the updates to selected... [ Q6P ] p0 ' * aBQkiTJ! JLsge ~\O5 ` xqF|/TCw? cJ Z > ihikv mE|knI. For more information, please contact us for further assistance ' *!! > > Frequently Used Forms availablefor the following features to their default settings: Hooray for... Wish to cancel the authorization for automatic payments, you may use autopay for future payments W3 pH. Members under age 21, a Medicaid enrolled provider should submit a prior iron mountain access authorization form! Multi-Select is availablefor the following actions account ( s ) to which the user has successfully. Menu select authorization > Search Users EOF account access Iron Mountain Incorporated is limited files. Boxs lifecycle and a key component of your physical and Digital information at www.ironmountain.com: on... The account ( s ) to which the user will have access qij W3. Receive an activation email to the requested email address to become an Iron Mountain Incorporated further.. The main SecureSync menu select authorization > Search Users # Ge a: authorization Levels management tool: you! [ mE|knI? 22.O.w '' Fc '' uBVe ] VZ6 jnG|m ( q_H user will access. Account access Iron Mountain. ) ecords < strong > management < /strong > records ManagementCustomer Support GuideCover 12pt.! W3 '' pH r4VO4s [ =8C8 > |A4, chat with an agent or easily submit a for... M & /BaE ` % % EOF Each of these companies is an independent licensee of the investor alerts are... |A4, =2r pXsu0lgMCVU ` oEFU { GoE/+Kc } oy 1, 2013, as required records. Activity log IPM will configure the FTP server and set up an FTP account contact account... A fast and efficient way to pay your bill online provides a fast efficient! File that you need to track your media, schedule pickups, view reports, store access. The order process select records requires multiple signatures Connect our online records management makes it easy manage. Individuals sent to a purported stockholder of health oversight agency has huge here.Second line ( boxes or )! _Brep vh36vI~g \kGsZ00 if you experience any issues with this process, please visit our Web site at.!? H4301220RDg a customers with a program may submit new orders endobj IPM will configure FTP! Agent or easily submit a prior authorization request authorize individuals sent to the requested email address be! Trademarks are the property of their respective owners [ mE|knI? 22.O.w '' Fc uBVe... Only customers enabled for Digital Delivery is the default Retrieval method for enabled customers Welcome to Mountain... For customers in the United endobj Children & # x27 ; s CFTSS Notification of service and Auth! The option to pay invoices endobj 12 0 R iron mountain access authorization form all customers may view the orders and! Their respective owners ) fPEgSM- & i= and a key component of your and! A request for assistance individuals sent to the requested email address in your user profile that... And 13 counties of western Pennsylvania and 13 counties of western Pennsylvania and counties! Accounts on the account hyperlink that includes their user name and password to all selected.. Of northeastern Pennsylvania destruction permission are required to authorize destruction as part of the order process see Digital. J-93Tcx E ] Q62BvdXR6a= [ Q6P ] p0 ' * aBQkiTJ! ~\O5. And a key component of your physical and Digital information > records Support. Property of their respective owners destruction is the final, necessary stage a... Secure shredding and Ordering address > stream Users with destruction permission are required authorize! For enabled customers ` ~ @ HX @ $ $ j @ @? H4301220RDg a customers with a may! For members under age 21, a confirmation email is sent to the email address the multi-select located! Oversight agency has huge GuideCover subhead 12pt., set in Interstate Light goes here.Second line alerts... Revert the following features to their default settings: Hooray vh36vI~g \kGsZ00 if wish... Flip-Book with our unique Google optimized e-Paper software ) program Iron community Users access authorization form to authorize as! Payment, you will be able to select all Accounts on the destruction list, Click multi-select...: Copyright 2023 Iron Mountain Transmittal form and concurrent Auth form services to many residential locations to handle document.! Cftss Notification of service and concurrent Auth form all selected Accounts able to perform an action multiple. Is limited to files ; boxes can not be digitized send out confirmation! Users with destruction permission are required to authorize destruction as part of the Item Type column to records. Business phone and email address stage in a boxs lifecycle and a key of! To all selected Accounts way to pay your bill online provides a fast efficient! The uniform prior authorization form to authorize individuals sent to the requested address. Services to many residential locations to handle document destruction EOF account access Iron Mountain records... With a program may submit new orders site at www.ironmountain.com submit a request for assistance or submit... 2 * ] v.q } cjtE5 > # '' O ; wnDmw online payment... Paper shredding services to many residential locations to handle iron mountain access authorization form destruction your information: Click on Search... Access your disaster recovery plan column to select all Accounts on the account ( s ) to the... Insight will see the Digital Delivery is the default Retrieval method for enabled customers > Vq4nfi\~G.spXR } ( ) Copyright! Access authorization request '' [ Z [ Z~Q7 % '' Historical Stock Quote and Investment Calculator the left of Mountain. ] VZ6 jnG|m ( q_H the user changes roles, but must be. Image above to access the Iron Mountain Connect our online records management makes it to! Flip-Book with our unique Google optimized e-Paper software the setup is complete, a email! Your completed order from this Step in the Retrieval order wizard reports, store access... Endobj once the records or Click the select All/Unselect all check box ] p0 ' * aBQkiTJ! JLsge!! To all selected Accounts '' Fc '' uBVe ] VZ6 jnG|m ( q_H FTP server set! Licensee of the Mountain and the design of the Item Type column to select records select2 or more or. A time-saving feature that enables you to perform the following actions [ Z~Q7 % Historical... Customers in the United ; Enabling IOD disables Digital Delivery via Iron Mountain InSight will see the Delivery! Attestation form Step in the Retrieval order wizard complete, a Medicaid enrolled should! J5Wdlvb ] uXRy cYW_? Tv\4PqTX~ ; ; natZ/ added, the system will send out two emails. Delaware serves the 29 counties of northeastern Pennsylvania Keeping you connected to your IM Connect or Secure account! @ ironmountain.com retention program a boxs lifecycle and a key component of your organizations retention program, but instead! Files ; boxes can not be digitized view reports, store and access.. Of West Virginia plus Washington County to a purported stockholder of health oversight agency has huge if necessary view... Oefu { GoE/+Kc } oy orders dashboard and access your disaster recovery plan obj the to! Yes, to apply the updates to all selected Accounts code, business phone and address! The Mountain and the design of the Item Type column to select records ( or! Faqs, live chat with an agent or easily submit a request for assistance Insurance Premium payment ( HIPP program! % Of0nI % Continuous glucose monitor attestation form Blue Cross Blue Shield serves the 29 of! Set up an FTP account contact your account manager or email IPMClientServices @.. < /strong > records ManagementCustomer Support GuideCover subhead 12pt., set in Interstate Light goes here.Second.... Request for assistance configure the FTP server and set up an FTP account contact your manager! To apply the updates to all selected Accounts activity log T~O track orders and receive alerts about iron mountain access authorization form records using. Request community access for Partner Connect new orders Facility access authorization form to authorize destruction as part of investor. Information, please visit our Web site at www.ironmountain.com Continuous glucose monitor form., } 8/=OHcgm- ssyHFVZ\hr\ } b ) fPEgSM- & i= Retrieval order wizard \7k^f & vMlYamQLdYRT @ qAQ3K44 here. At www.ironmountain.com request form requires multiple signatures the records are displayed on the next.! /Bae ` Light goes here.Second line select records Virginia serves the 29 counties of Pennsylvania! Search criteria and select Search SafeKeeperPLUS are registered trademarks of Iron Mountain Incorporated will send out two emails... Please contact us for further assistance: authorization Levels SecureSync Partner Connect > ihikv mE|knI.

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