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What is Continuation of Care
The Anthem Continuation of Care Form is a patient consent document used by Anthem members to request ongoing medical care after provider termination or for new network enrollees.
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Continuation of Care is needed by:
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Patients receiving ongoing medical treatment
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Parents or guardians of patients requiring consent
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Individuals transitioning between healthcare providers
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New Anthem enrollees with existing healthcare providers
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Healthcare administrators managing patient care transitions
How to fill out the Continuation of Care
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1.To begin, access the Anthem Continuation of Care Form on pdfFiller by visiting their website and logging into your account or creating a new one if needed.
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2.Once on pdfFiller, use the search function to find the Anthem Continuation of Care Form. Click on the form to open it in the editor.
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3.Before you begin filling out the form, gather necessary information such as the subscriber's name, ID number, the patient's details, home phone number, date of birth, and any upcoming medical service details.
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4.Start filling in the required fields within the form using the pdfFiller interface. Click on each field to input data, ensuring accurate and complete entries.
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5.Use the clickable checkboxes for any applicable conditions. Carefully read any instructions provided within the form to ensure proper completion.
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6.After you’ve completed all fields and reviewed the information for accuracy, double-check for any missing sections or data that may require input.
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7.Once satisfied with the information, review the entire form for clarity and coherence, ensuring it aligns with your needs.
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8.To finalize your form, save it on pdfFiller. You can download a copy to your device or send it directly for submission via email or other methods provided on the platform.
Who is eligible to use the Anthem Continuation of Care Form?
Any Anthem Blue Cross and Blue Shield member requiring ongoing medical care after a provider has been terminated or for new enrollees with a treating provider outside the network is eligible to use this form.
Is there a deadline for submitting the Anthem Continuation of Care Form?
While specific deadlines may vary, it is recommended to submit the form as soon as possible to ensure continued access to care without interruptions.
How do I submit the Anthem Continuation of Care Form once completed?
After filling out and finalizing the form on pdfFiller, you can save it and download it for your records. The form can also be submitted directly to your Anthem provider or via email, depending on the instructions provided.
What supporting documents are required with this form?
Typically, supporting documents could include evidence of ongoing treatment, any relevant medical records, and identification proof. Ensure to check specific requirements from Anthem.
What are common mistakes to avoid when filling out the form?
Common mistakes include missing required fields, incorrect information, and failing to read instructions carefully. Double-check spelling and ensure all signatures are complete.
What is the processing time for submitted requests?
Processing times can vary based on the complexity of the request and Anthem's workload. Generally, you can expect a response within a few business days.
Can I edit the Anthem Continuation of Care Form after submission?
Once the form has been submitted, any changes or corrections will need to be requested directly through Anthem’s customer service or your healthcare provider.
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