SYSTEM AUTHORIZATION ACCESS REQUEST (SAAR)
Navy and Marine Corps Public Health Center (NMCPHC) PART I (To be completed by Requester) 1. NAME (Last, First, Middle Initial): 2. ORGANIZATION: 3. OFFICE SYMBOL/DEPARTMENT: 4. PHONE (DSN and Commercial): DSN: COM: 5. OFFICIAL E-MAIL ADDRESS: 6. JOB TITLE AND GRADE/RANK: 7. OFFICIAL MAILING ADDRESS: 8. …
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Department of Defense Periodic Health Assessment (DoD PHA ...
data.nmcphc.med.navy.milCPT Code: 96160- Prev Med Administration of Health Risk Questionnaire E/M Code: 99441(5-10min of medical discussion) 99442(11-20min of medical discussion) 99443( 21-30min of med discussion) Example 2: In-Clinic MHA/PHA Patient completes PHA self-assessment online, but requests a face-to-face MHA/PHA appointment.
PHA Requesting Record Reviewer, MHA Provider, or Provider
data.nmcphc.med.navy.milusn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil. Step 7 Once the request is confirmed, NMCPHC will email you confirmation of additional access. PHA Help Desk: usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377
Periodic Health Assessment
data.nmcphc.med.navy.milusn.hampton-roads.navmcpubhlthcenpors. list.nmcphc-phahelpdesk@mail.mil Phone number 757 953 0737 DSN 377 Requesting Additional Access To request access to PHA as a Record Re-viewer, MHA Provider, or Health Care Pro-vider (HPC), complete the OPNAV 5239/14 (SAAR) located on the PHA homepage. Block 15-16 of the SAAR forms should be
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