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ICD-10 Code Z12. 11 and Z12. 12 Encounter for screening for malignant neoplasm of colon Z12. 11 and rectum Z12. Exactlabs. com Fax completed form to 844-870-8875 Recommended type all Provider information. Editable printable PDF available at exactlabs. Policyholder Name Policyholder DOB // Relationship to patient Type Insurance Medicare Medicare Advantage Medicaid Tricare Self Spouse Other Self-Pay Insurance Carrier/Program Customer Service on Insurance Card Claims Submission Address...
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How to fill out cologuard order
How to fill out cologuard order
01
Step 1: Obtain the cologuard order form from the appropriate source.
02
Step 2: Start by filling out the patient information section. This includes the patient's name, date of birth, and contact information.
03
Step 3: Provide the patient's medical history and other relevant information that may be required for the order.
04
Step 4: Specify the reason for the cologuard order and any specific instructions or preferences.
05
Step 5: Complete the ordering physician information section, including name, contact details, and any necessary credentials.
06
Step 6: Double-check all the filled information for accuracy and make any necessary corrections.
07
Step 7: Submit the completed cologuard order form through the designated submission method, whether it is electronic or physical.
08
Step 8: Keep a copy of the filled-out form for your records.
09
Step 9: Await confirmation or further instructions regarding the cologuard order.
Who needs cologuard order?
01
Individuals who are at average risk for colorectal cancer and meet certain age criteria may need a cologuard order.
02
Those who have symptoms or a family history of colorectal cancer might also require a cologuard order.
03
The decision to order cologuard should be made by a healthcare professional based on their evaluation of the patient's risk factors and medical history.
04
It is advisable to consult a doctor or healthcare provider to determine if a cologuard order is necessary.
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What is cologuard order?
Cologuard order is a medical order for a non-invasive colorectal cancer screening test.
Who is required to file cologuard order?
Healthcare providers or physicians are required to file cologuard order for their patients.
How to fill out cologuard order?
Cologuard order can be filled out by providing patient information, demographics, and contact details.
What is the purpose of cologuard order?
The purpose of cologuard order is to facilitate the process of ordering a colorectal cancer screening test for patients.
What information must be reported on cologuard order?
Information such as the patient's name, date of birth, insurance information, and physician's contact details must be reported on cologuard order.
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