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PRESERVICE CHECKLIST Before receiving services at Sarasota Memorial Health Care System facilities it is prudent to follow the steps listed below to ensure accurate and timely billing of your claim/s.
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How to Fill Out Pre-Arrival Checklist - SMHCOM:

01
Start by reviewing the pre-arrival checklist provided by SMHCOM. Familiarize yourself with the different sections and items that need to be completed before arrival.
02
Begin with the personal information section. Fill in your name, contact details, and any other information required by SMHCOM.
03
Move on to the travel arrangements section. Enter the date and time of your planned arrival, as well as any special requests or requirements you may have, such as transportation or dietary preferences.
04
Complete the accommodation details section. Provide information about where you will be staying during your visit, including the name of the hotel, reservation details, and any requests for specific amenities or room preferences.
05
Fill out the medical history section thoroughly. Include any relevant information about pre-existing conditions, allergies, or medications you are currently taking. This is crucial for the healthcare providers at SMHCOM to ensure your safety and well-being during your visit.
06
Proceed to the insurance section. Indicate whether you have valid medical insurance and provide the necessary details, such as the insurer's name, policy number, and contact information.
07
Answer any additional questions or provide any other information requested by SMHCOM. This could include details about your purpose of visit, any specific medical or health concerns, or any other relevant information.
08
Review the completed pre-arrival checklist to ensure all sections are filled out correctly and accurately. Make any necessary corrections or additions before submitting it to SMHCOM.
09
Finally, submit the filled-out pre-arrival checklist to SMHCOM as instructed. This could be through an online portal, email, or any other specified method.

Who needs Pre-Arrival Checklist - SMHCOM:

01
Individuals planning to visit or receive medical services from SMHCOM.
02
Patients scheduled for surgeries, consultations, or any other medical procedures at SMHCOM.
03
Visitors and accompanying family members or friends who will be staying in accommodation arranged by SMHCOM during their visit.
The pre-arrival checklist is important to help SMHCOM ensure that all necessary arrangements, accommodations, and medical preparations are made before the arrival of patients or visitors, in order to provide a smooth and efficient experience. It also aids in collecting essential information that is vital for the safety and well-being of the individuals during their time at SMHCOM.
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