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CONTINUITY OF CARE REQUEST Sutter Health Plus Continuity of Care (COC) lets you temporarily continue care with a provider who is not part of the Sutter Health Plus provider network (nonparticipating

How to fill out continuity of care request

How to fill out continuity of care request

1. Gather all necessary information such as your personal details, healthcare provider details, and reason for requesting continuity of care.
2. Download the continuity of care request form from your healthcare provider's website or request it from their office.
3. Read the instructions on the form carefully and fill out all the required fields accurately.
4. Provide a detailed explanation for why you require continuity of care, including any relevant medical history or conditions.
5. Attach any supporting documents, such as medical reports or referral letters, that can strengthen your request.
6. Double-check all the information provided to ensure its accuracy and completeness.
7. Submit the filled-out form and supporting documents to your healthcare provider through the specified channels (e.g., mailing, faxing, or delivering in person).
8. Follow up with your healthcare provider to ensure they have received your request and to inquire about the next steps.
9. Keep a copy of the submitted form and supporting documents for your records.

Who needs continuity of care request?

1. Individuals who are transitioning between healthcare providers or seeking care from a new provider.
2. Patients who have complex medical conditions or ongoing treatments that require specialized care.
3. People who are relocating to a different geographic area and need to transfer their medical records and care plans.
4. Those who have been referred to a specialist by their current healthcare provider and need to ensure a smooth transition of care.
5. Individuals who have a history of chronic illnesses or conditions that necessitate consistent and uninterrupted care.
6. Patients who have been discharged from a hospital and require follow-up care or treatment continuity in an outpatient setting.
7. People who have active prescriptions for certain medications and need to ensure seamless refills or prescription transfers.
8. Those who have legal or insurance-related requirements for continuity of care documentation.

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What is continuity of care request?

Continuity of care request is a process to request ongoing treatment from a provider when transitioning to a new provider network.

Who is required to file continuity of care request?

Any individual who is undergoing treatment and wants to continue with their current provider after a change in the network is required to file continuity of care request.

How to fill out continuity of care request?

To fill out continuity of care request, the individual needs to contact their current provider and request the necessary form to be completed.

What is the purpose of continuity of care request?

The purpose of continuity of care request is to ensure that individuals can continue their ongoing treatment with their current provider even after a change in the network.

What information must be reported on continuity of care request?

The continuity of care request must include the individual's personal information, details of current treatment, and reasons for requesting to continue care with the current provider.