Exam Fee Reimbursement Form

POLICY

The Association will reimburse the cost of the credentialing examination for Registered Health Information Administrator and Registered Health Information Technician for new graduates who pass the examination within 6 months of graduation from an AHIMA approved HIA or HIT program.

CRITERIA FOR REIMBURSEMENT AWARD

  1. The examination candidate must be a member, in good standing, of NJHIMA for a minimum of 6 months prior to graduation/program completion.
  2. The examination candidate must be a graduate of an accredited HIA or HIT program.
  3. The examination date may not extend more than 6 months beyond the date of graduation (course completion.
  4. Application and scheduling of the examination is the sole responsibility of the graduate.
  5. Application for reimbursement is the sole responsibility of the graduate.

PROCEDURE FOR REIMBURSEMENT

  1.  Upon achieving a passing grade as established by AHIMA, the student will complete a disbursement voucher for the examination fee. 
  2. The student will submit the voucher to the address indicated along with the attached documents:
  • Written proof from AHIMA of passing grade for the certification examination.
  • Proof of program completion date (transcript indicating degree conferred date or letter from program on educational institution letterhead).

  • Receipt for proof of payment (cancelled check, printout of receipt for on-line registration).
  • Request for reimbursement must be within 60 days of the date on the passing grade notification
Application and scheduling of the examination is the sole responsibility of the graduate.

Application for reimbursement is the sole responsibility of the graduate.

You can download the PDF of the form here.

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Please mail the completed documents to:

 

NJHIMA
C/O Bonnie Ivler
2 Sherbrooke Lane
Morganville, NJ 07751-1314

 

 
Be prepared: below is the information you will need.
Item Description
 
 
 
 
 
Amount: $49.00
 
Note:  If name on any of the above differs from that of the student name on proof of graduation, please submit proof of name change. 
COMPLETE ABOVE PORTIONS ONLY, THEN PRINT AND MAIL TO CURRENT NJHIMA TREASURER