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COVENTRY HEALTH CARE OF ILLINOIS, INC. COVENTRY HEALTH CARE OF MISSOURI, INC. Case Management Policy and Procedure PROPRIETARY Policy: Continuation of Treatment in the Event of Practitioner Termination

How to fill out mm 110023continuation of treatment

How to fill out mm 110023continuation of treatment:

1. Start by entering the patient's personal information, including their name, date of birth, and contact details.
2. Next, provide information about the healthcare provider or facility where the treatment is being continued. This includes the name, address, and contact information.
3. Specify the type of treatment that is being continued. Provide details such as the diagnosis, treatment start date, and any relevant medical codes.
4. Indicate the frequency and duration of the continued treatment. Include the number of sessions or visits per week or month and the expected duration of the treatment.
5. If there are any changes to the treatment plan, such as a different medication or therapy approach, make sure to mention it in the form.
6. Finally, sign and date the form to authenticate the information provided.

Who needs mm 110023continuation of treatment:

1. Patients who have undergone a specific medical treatment and require its continuation.
2. Healthcare providers who need to document and communicate the continuation of treatment to other medical professionals.
3. Insurance companies or government agencies that require documentation for reimbursement purposes or to track the patient's healthcare journey.

For pdfFiller’s FAQs

What is mm 110023 continuation of treatment?

MM 110023 continuation of treatment is a form used to continue medical treatment or therapy.

Who is required to file mm 110023 continuation of treatment?

Patients or their authorized representatives are typically required to file the MM 110023 form for continuation of treatment.

How to fill out mm 110023 continuation of treatment?

To fill out the MM 110023 form, you need to provide accurate information about the patient, the type of treatment being continued, and any supporting medical documents.

What is the purpose of mm 110023 continuation of treatment?

The purpose of MM 110023 continuation of treatment is to ensure the seamless continuation of medical care for patients.

What information must be reported on mm 110023 continuation of treatment?

The MM 110023 form typically requires information such as patient's details, current treatment plan, medical provider information, and any relevant medical history.

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