Who isReceivingMissingMissingLetterof RepExpirationDate/EventMissingAuth isPoorQualityAuth inAnotherLanguageRequestorAddressdoes notmatchRequestAuth DOESNOT allowSensitiveInfoHIV/AIDSClauseMissingPatientIdentifierMismatchPatientSignatureDateMissingElectronicSignaturePoA orPersonalRepConditioningStatementMissingInformationto beDisclosedMissingPatientDirectiveWho isReleasingMissingRe-DisclosureStatementMissingPatientSignatureMissingPurposeofDisclosureMissingSensitiveInformationMissingAuthNeededbut notProvidedRequestedInfo differsfromAuthorizedInfoRevocationStatementMissingSignatureDate inthe FutureWho isReceivingMissingMissingLetterof RepExpirationDate/EventMissingAuth isPoorQualityAuth inAnotherLanguageRequestorAddressdoes notmatchRequestAuth DOESNOT allowSensitiveInfoHIV/AIDSClauseMissingPatientIdentifierMismatchPatientSignatureDateMissingElectronicSignaturePoA orPersonalRepConditioningStatementMissingInformationto beDisclosedMissingPatientDirectiveWho isReleasingMissingRe-DisclosureStatementMissingPatientSignatureMissingPurposeofDisclosureMissingSensitiveInformationMissingAuthNeededbut notProvidedRequestedInfo differsfromAuthorizedInfoRevocationStatementMissingSignatureDate inthe Future

Authorization Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Who is Receiving Missing
  2. Missing Letter of Rep
  3. Expiration Date/Event Missing
  4. Auth is Poor Quality
  5. Auth in Another Language
  6. Requestor Address does not match Request
  7. Auth DOES NOT allow Sensitive Info
  8. HIV/AIDS Clause Missing
  9. Patient Identifier Mismatch
  10. Patient Signature Date Missing
  11. Electronic Signature
  12. PoA or Personal Rep
  13. Conditioning Statement Missing
  14. Information to be Disclosed Missing
  15. Patient Directive
  16. Who is Releasing Missing
  17. Re-Disclosure Statement Missing
  18. Patient Signature Missing
  19. Purpose of Disclosure Missing
  20. Sensitive Information Missing
  21. Auth Needed but not Provided
  22. Requested Info differs from Authorized Info
  23. Revocation Statement Missing
  24. Signature Date in the Future