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Request an ID Card on Behalf of a Member
To request a new or additional identification card on behalf of a member, please call the Arise Health Plan Billing and Enrollment Department, at (920) 617-6330.
Arise Health Plan Rating Factors and Renewability Provisions For Employers with 2-50 Employees
HIPAA Forms and Documents
- More Information on HIPAA
- Notice of Privacy Practices
- Appeals/Grievance Authorized Representative Form
- Authorization for WPS to Disclose Health Information
- Confidential Communications
- Consent to Unsecure Email Communication
- Request to Access PHI
- Request to Amend PHI
- Instructions for Completing the Member Authorization Form
- Privacy Complaint Form