Credentials Exam Reimbursement

To be eligible for reimbursement, applicants must:

Be an active member of KHIMA (dues up to date and Kentucky selected as the designated CSA)
Have graduated (or be an early tester) from a CAHIIM-accredited HIT or HIA program
Have successfully passed the RHIT or RHIA Examination
Exam must be taken within 6 months of graduation, and all required documents must be submitted within 3 months after the exam is passed

Name *

First

Last *

Last

Home Address *

Street Address

City *

State *

Zip Code *

Phone Number *

Primary Phone Number

Email Address *

Primary Email Address

Name of accredited educational program from which you graduated *

Date Exam Taken *

MM/DD/YY

Credential Earned *

Date of Graduation *

MM/DD/YY

AHIMA # *

Amount Paid *

* Attach applicable receipt for consideration

Submit application along with a copy of official documentation from AHIMA stating successful completion of exam.

File Upload *

Maximum upload size: 134.22MB

PDF format only

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