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Note: For forms related to HIP fast track and full eligibility notification, see the Healthy Indiana Plan (HIP) Forms section. Provider Correspondence Forms.Under HIPAA, may an individual request that a covered entity restrict how it uses or discloses that individual's protected health information (PHI)?. Answer:. Explore these tips on how to request your health record — it's your right. Providers need complete and accurate information to provide you with the right care. If the employee fails to provide complete and sufficient medical certification, his or her FMLA leave request may be denied. 29 C.F.R. § 825.313. Information. Request and Coordinate Care. Strong care coordination between VA and community providers ensures Veterans receive timely and high-quality care. Check on the status of their claims; Inquire on a patient's eligibility; View their Remittance Advices; Request prior authorization.