This version of the form is not currently in use and is provided for reference only. Download this version of Form 2000-F-13 for the current year.
This is a legal form that was released by the Arkansas Department of Transformation and Shared Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 2000-F-13?
A: Form 2000-F-13 is the Health Insurance Portability and Accountability Act (HIPAA) Disclosure Reporting Form.
Q: What is HIPAA?
A: HIPAA stands for the Health Insurance Portability and Accountability Act, which is a federal law that protects the privacy and security of health information.
Q: What is the purpose of Form 2000-F-13?
A: Form 2000-F-13 is used to report any disclosures of protected health information (PHI) that are required under HIPAA.
Q: Who needs to complete Form 2000-F-13?
A: Healthcare providers and other covered entities are required to complete this form when they make certain disclosures of PHI.
Q: Is this form specific to Arkansas?
A: Yes, Form 2000-F-13 is specific to Arkansas and is used for HIPAA disclosure reporting in that state.
Form Details:
Download a printable version of Form 2000-F-13 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Transformation and Shared Services.