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Rx2000 Institute
11824 Wayzata Blvd
Minneapolis, MN 55305
Phone: 952-595-9551
FAX: 952-513-1544

 

Finding Your Way
Through the HIPAA/
ERISA MAZE

HIPAA/ERISA Health Care 
Regulatory Compliance Conference

November 5, 2001
Chicago, Illinois

Click here to view Brochure

Please complete the the following form to register.

  1. Contact Information:
    First Name
    Last Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    FAX
    E-mail

     

  2. Please identify your organization type (check all that apply)
    Hospital 
    Healthcare Payer 
    Home Health Agency 
    DME 
    Multi-Specialty Clinic 
    Pharmacy 
    Laboratory 
    Long Term Care 
    Manufacturer 
    Distributor 
    Data
    Clearinghouse 
    Law Firm 
    Accountant 
    Government 
    Media/Press 
    Other:  
  3. Select the Appropriate Payment  Level:
    IAHP/Rx2000 Institute Members:
    $250.00 (USD) Postmarked by October 26, 2001
    $325.00 (USD) Postmarked after October 26, 2001
    Non-Members:
    $350.00 (USD) Postmarked by October 26, 2001
    $425.00 (USD) Postmarked after October 26, 2001
  4. Select Payment Method:
    Check: Visa: MC:
     Enclosed Number: Exp:
  5. If submitting credit card information please note this is currently an UNSECURED transaction. For a more secure submission method please print this form, complete it and fax it to Rx2000 at 952-513-1544.

    If you do not receive a registration confirmation please call us at 952-595-9551.

 



 

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Rx2000 Institute is an independent, non-profit, member-supported information clearinghouse,
improving healthcare cost and quality.