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Tumor Profiling Requisition Fax completed requisition with a copy of the pathology report, clinical history and insurance information to (866) 4794925. TREATING PHYSICIAN INFORMATION PATIENTINFORMATION
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How to fill out treating physician information patient

Point by point guide to filling out treating physician information for a patient:
01
Start by obtaining the necessary form or document for filling out the treating physician information. This could be a medical history form, an insurance claim form, or any other relevant document.
02
The treating physician information section usually requires you to provide details about the patient's primary healthcare provider or the physician who is currently overseeing their treatment. This could be a general practitioner, a specialist, or any other healthcare professional involved in the patient's care.
03
Begin by providing the physician's full name. Make sure to include their first name, middle initial (if applicable), and last name. Double-check for any spelling errors to ensure accurate information.
04
Next, provide the physician's contact information. This typically includes their clinic or practice address, phone number, and email address. Additionally, if the form asks for it, provide any other relevant contact details such as a fax number.
05
Some forms may require you to indicate the physician's specialty or field of expertise. In this case, state the specific area of medicine in which the treating physician specializes, like cardiology, orthopedics, neurology, etc.
06
If applicable, provide the physician's national provider identifier (NPI) number. This unique identification number is assigned to healthcare providers in the United States and can help ensure accurate identification and record-keeping.
07
In certain cases, the form may ask for additional information about the treating physician, such as their medical license number or the date of their most recent visit with the patient. If this information is available, provide it accurately.
08
Review the filled-out treating physician information section carefully to confirm that all the details provided are accurate and up to date. Mistakes or incorrect information could result in delays in processing the form or potential communication issues with the physician.
09
Finally, sign and date the section where you provided the treating physician information. This serves as an acknowledgement that you have filled out the form accurately and to the best of your knowledge.
Who needs treating physician information patient?
01
Healthcare providers: Treating physician information is important for healthcare providers who are involved in a patient's care. It helps them understand who the primary doctor is and enables effective communication and coordination in providing appropriate treatment.
02
Insurance companies: When processing insurance claims, insurers often require the treating physician information to ensure that the medical services being claimed were indeed provided by a qualified healthcare provider. This information helps validate the claim and prevent fraud.
03
Researchers and statisticians: Treating physician information can be valuable for researchers and statisticians who are studying healthcare trends and outcomes. It allows them to identify which physicians are involved in specific patient populations and analyze the relationship between patient outcomes and the treating physician's expertise.
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What is treating physician information patient?
Treating physician information patient includes details about the healthcare provider responsible for the treatment and care of the patient.
Who is required to file treating physician information patient?
Typically, the healthcare provider or medical facility where the patient is being treated is responsible for filing the treating physician information.
How to fill out treating physician information patient?
Treating physician information patient can be filled out by providing the name, contact information, and any other relevant details about the treating physician or healthcare provider.
What is the purpose of treating physician information patient?
The purpose of treating physician information patient is to ensure that accurate and up-to-date information about the healthcare provider responsible for the patient's treatment is available for reference.
What information must be reported on treating physician information patient?
Information such as the physician's name, specialty, contact details, and any relevant medical history or treatment plans may need to be reported on treating physician information patient.
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