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ENDOCRINOLOGY CONSULTATION REQUEST FORM PHONE 855.538.END(3636) FAX 317.355.6822 EMAIL Endocrinology ecommunity.com REFERRAL FOLLOWUP 317.621.4067 WEB CommunityEndocrinology.com REFERRAL DATE: PATIENT
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How to fill out referring physician info
How to fill out referring physician info:
01
Begin by locating the section on the form or document that asks for referring physician information. This is typically found in healthcare-related forms, such as patient registration forms or medical referral forms.
02
Fill in the referring physician's name in the designated space. Make sure to include the first name, last name, and any applicable titles or initials, such as Dr. or MD.
03
Provide the referring physician's contact information. This usually includes their phone number and/or address. Double-check for accuracy to ensure proper communication between healthcare providers.
04
If available, include the referring physician's NPI (National Provider Identifier) number. This is an identification number specific to healthcare providers and helps maintain proper records and accountability.
05
If the form requires additional details about the referring physician, such as their specialty or affiliation with a particular healthcare institution, provide these details in the relevant fields.
Who needs referring physician info:
01
Patients: Patients often need to provide referring physician information when scheduling appointments with new healthcare providers. This helps the provider understand the medical history and context of the patient and enables better continuity of care.
02
Healthcare providers: When a healthcare provider refers a patient to another specialist or facility, they need to provide the referring physician information. This ensures clear communication between healthcare professionals and allows for appropriate coordination of care.
03
Insurance companies: Some insurance companies may request referring physician information to determine medical necessity or evaluate the appropriateness of certain medical procedures or tests. Providing this information helps facilitate insurance claim processing and reimbursement.
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What is referring physician info?
Referring physician info is the information about the doctor who has referred a patient for medical treatment or services.
Who is required to file referring physician info?
Healthcare facilities and providers are required to file referring physician info.
How to fill out referring physician info?
Referring physician info can be filled out by including the name, contact information, and license number of the referring physician.
What is the purpose of referring physician info?
The purpose of referring physician info is to track the referral process and ensure continuity of care for the patient.
What information must be reported on referring physician info?
The information reported on referring physician info typically includes the name, contact information, and license number of the referring physician.
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