• Electronic Funds Transfer (EFT) Enrollment Form
• Electronic Remittance Advice (ERA) Enrollment Form
• CARC/RARC Comparison Guide (Currently unavailable – Contact Heraya Customer Service)

• Claims Frequently Asked Questions (Currently unavailable – Contact Heraya Customer Service)
• Provider Services Frequently Asked Questions (Currently unavailable – Contact Heraya Customer Service)
• Request for Claims Reconsideration Form

• Patient Eligibility Verification Form
• Patient Consent for Non-covered Services Form
• Vacation/Leave of Absence/Sabbatical Request Form
• Call Coverage Application Forms
• Associate Request Forms (Currently unavailable – Network open for enrollment)
• Relocation/Additional Office Request Forms

• Treatment Extension Request (TER) to KP for KP PCP Direct Referrals
• Treatment Extension Request (TER) to Heraya for Washington Employer Groups Direct Access Members

• KP On the Job Referrals – Initial Treatment Plan
• KP On the Job Referrals – Treatment Summary

• Heraya Provider Billing Manual
• Heraya Provider Operations Manual
• Kaiser Permanente Vendor Code of Conduct

Heraya Manual Excerpts

• Philosophy of Care
• Provider Code of Ethics
• Members’ Rights and Responsibilities
• Credentialing and Provider Rights
• UM Affirmation Statement
• Credentialing Committee Attestation Statement
• UM Policies
• Guidelines for Provider Participation

Upper Extremities

• Hand & Wrist Strain/Sprain and Tendinopathies, DC, ND 
• Adhesive Capsulitis/Frozen Shoulder, DC, ND
• Carpal Tunnel Syndrome, Integrated
• Shoulder Pain, LAc

Lower Extremities

• Knee, ACL/PCL, DC
• Knee, Bursitis, DC
• Knee, Meniscus Tear, DC
• Knee, Patellar Tendinopathy, DC
• Knee, Patellofemoral Pain/Chondromalacia Patella, DC
• Piriformis Syndrome, DC, ND
• Greater Trochanteric Pain Syndrome, DC, ND

Internal Medicine

• Asthma, Integrated
• Autoimmune Disorders, ND
• Atopic Dermatitis, ND
• Bronchitis, ND
• Diabetes Type I, ND
• Diabetes Type II, ND
• Dysmenorrhea, Integrated
• Fatigue, ND
• GERD, ND
• Hyperlipidemia, Integrated
• Hypertension, Integrated
• Hypothyroidism, ND
• Irritable Bowel Syndrome, ND, LAc
• Menopause, Integrated
• Pediatrics, Integrated

Spine

• Intervertebral Disc Disorder, DC
• Chronic Low Back Pain, Integrated
• Lumbar Spinal Stenosis, DC, ND
• Neck Pain (Cervicalgia), Integrated
• Sacroiliac Joint Syndrome, DC
• Scoliosis, DC
• Spondylosis, DC
• Subluxation, DC

Pain

• Bell’s Palsy, LAc
• Fibromyalgia, Integrated
• Headache, Integrated
• Sinusitis Rhinosinusitis, LAc
• Sleep Disorders & Chronic Pain

Behavioral Health

• Anxiety, ND, LAc
• Mental Health/Behavioral Health, Integrated
• Depression, ND, LAc
• Suicide Recognition and Referral, Integrated

Massage Therapy

• Prenatal Massage, LMT

Advisories

• Clinical Impressions Advisory for LMT
• Body Temperature Assessment Advisory
• Domestic Violence Advisory
• Red Flag Advisory: Dermatology
• Red Flag Advisory: Low Back Pain
• Blood Pressure Measurement Advisory
• Counseling Patients About a Healthy Diet
• Counseling Patients About a Healthy Exercise Plan
• Counseling Patients on Alcohol Consumption
• Counseling Patients on Weight and Health
• Helping Your Patients Become Tobacco Free
• Helping Your Patients with Allergies
• Helping Your Patients with Stress

Outcomes Assessment Tools (OATs)

• OATs Clinical Advisory Introduction
• OATs Clinical Advisory Neck & Back
• OATs Clinical Advisory Patient Specific Functional Scale
• The Oswestry Disability Index and the Neck Disability Index are available from the copyright holder, MAPI Trust, at no charge to physicians at https://eprovide.mapi-trust.org/ (A free account is required for download.)
• The Keele STarT Back Screening Tool is available from the copyright holder, Keele University, at no charge to physicians at https://www.keele.ac.uk/media/keeleuniversity/group/startback/Keele_STarT_Back9_item-7.pdf
• Visual Analog Scale
• Measure Yourself Medical Outcome Profile 2 (MYMOP2) Initial Questionnaire
• MYMOP2 Follow-up Questionnaire
• MYMOP2 Instructions for Administration and Scoring

• Heraya Faces Pain Scale (English/Spanish – 1 page)
• Heraya Faces Pain Scale (English/Chinese – 1 page)
• Heraya Faces Pain Scale (English/French – 1 page)
• Heraya Faces Pain Scale (English/Russian – 1 page)
• Heraya Faces Pain Scale (English/Vietnamese – 1 page)

• Radiographic Guidelines

• Heraya Clinical Record Quality Standards
• Clinical Record Quality Improvement Program
• Medical Necessity Criteria

Quality Improvement Guide to Clinical Record Keeping

• Quality Improvement Guide to Clinical Record Keeping – DC, ND, LAc
• Quality Improvement Guide to Clinical Record Keeping – LMT
• Best Practices – The Basics
• Best Practices – Diagnosis
• Best Practices – SOAP
• Best Practices – Identification
• Best Practices – Modalities
• Best Practices – Informed Consent
• Best Practices – DX Imaging
• Best Practices – Signature Authentication
• Best Practices – Pain Intensity
• Best Practices – Visit Specific Chart Notes
• Best Practices – De-Identifying
• Best Practices – Procedures (LMT)

Chiropractic Clinical Record Information

• Chiropractic Scoring Guidelines
• Chiropractic Scoring Tool

Naturopathic Physician Clinical Record Information

• Naturopathic Scoring Guidelines
• Naturopathic Scoring Tool

Acupuncture Clinical Record Information

• Acupuncture Scoring Guidelines
• Acupuncture Scoring Tool

Massage Therapy Clinical Record Information

• Massage Therapy Scoring Guidelines 
• Massage Therapy Scoring Tool