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Prime West Health Provider Manual Chapter 13 Inpatient Hospital Notification and Authorization Revised 10/01/2014 Chapter 13 Inpatient Hospital Notification and Authorization An inpatient hospital

How to fill out chapter 13inpatient hospital notification

How to Fill Out Chapter 13 Inpatient Hospital Notification:

1. Obtain the chapter 13 inpatient hospital notification form from the appropriate source, such as the hospital or insurance company.
2. Fill out the patient's personal information accurately, including their full name, date of birth, address, and insurance details.
3. Provide the name and contact information of the hospital where the inpatient services will be provided.
4. Indicate the anticipated admission date and the expected length of stay in the hospital.
5. Include relevant medical information, such as the reason for admission, any pre-existing conditions, and any surgeries or procedures planned during the hospital stay.
6. Specify the treating physician's name and contact information.
7. Sign and date the form, ensuring that all required signatures are obtained from the necessary parties.
8. Submit the completed chapter 13 inpatient hospital notification form to the appropriate recipient, which may include the insurance company, the hospital, or both.

Who Needs Chapter 13 Inpatient Hospital Notification?

1. Individuals who are covered under a chapter 13 insurance plan and require inpatient hospital services.
2. Insured individuals who are admitted to a hospital and anticipate staying for an extended period, typically more than 24 hours.
3. Patients seeking insurance coverage or reimbursement for inpatient hospital services provided under a chapter 13 insurance plan.

For pdfFiller’s FAQs

What is chapter 13 inpatient hospital notification?

Chapter 13 inpatient hospital notification is a requirement for hospitals to notify certain entities of inpatient admissions.

Who is required to file chapter 13 inpatient hospital notification?

Hospitals are required to file chapter 13 inpatient hospital notification.

How to fill out chapter 13 inpatient hospital notification?

Chapter 13 inpatient hospital notification can be filled out electronically or manually, following the specific guidelines provided by the governing body.

What is the purpose of chapter 13 inpatient hospital notification?

The purpose of chapter 13 inpatient hospital notification is to ensure proper communication and coordination of care for inpatient admissions.

What information must be reported on chapter 13 inpatient hospital notification?

Information such as patient demographics, admission date, treating physician, and diagnosis must be reported on chapter 13 inpatient hospital notification.

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