Description

Health Insurance Authorization and ComplianceForm app is for individuals to provide personal information ondemand. Fill in the form and provide it to specialists to releaseyour private information and allow medical establishments to accessand use it.

This app can be 100% customized to meet your personal needs bySnappii.

Health Insurance Authorization and Compliance Form app consists ofthe form that collects the following information:

- Contact information
- Name and date of birth
- Address
- Social security number
- Medical records to be released
- Digital signature
- Etc.

With the help of Health Insurance Authorization and Compliance Formapp individuals can:

- Provide their contact information
- Indicate what medical records can be shared
- Authorize medical establishments to use their personalinformation
- Save completed forms on a device
- Edit and re-send records
- Sync finished forms across multiple devices
- Share PDF and Excel reports
- Create profile to auto-fill a part of the form
- Work offline
- Save created reports to cloud drives to share and access fromdesktop
- Print PDF/Excel reports out

By downloading, you agree to the Terms of Use athttps://www.snappii.com/policy

In addition to using free Health Insurance Authorization andCompliance Form App version you can get unlimited number of formsubmissions by subscribing via an optional In-App Purchase andremove all ads by purchasing onetime fee. Subscribe from yourdevice and access these services via mobile app.

In-App Subscription Details:
• Ad Removal is $0.99 US dollars one-time fee
• Monthly Unlimited Form Submission Subscription to get is $11.99US dollars per month
• Annual Unlimited Form Submission Subscription to get is $99.99 USdollars per year
• Payment will be charged to Account at confirmation ofpurchase
• No cancellation of the current subscription is allowed duringactive subscription period
• Account will be charged for renewal automatically