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Blue Cross Bluesier of South Carolina
Transition of Care/Continuation of Care Request Form
Purpose of Transition of Care and Continuation of Care
If circumstances change and a members' provider is
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How to fill out transition of care form

How to fill out transition of care form
01
Obtain a copy of the transition of care form from the relevant healthcare provider or facility.
02
Review the form and make sure you understand the information being requested.
03
Fill in your personal information accurately, including your name, contact details, and date of birth.
04
Provide details about your current healthcare provider, including their name, contact information, and any specific instructions or preferences for the transition of care.
05
Specify the reason for the transition of care, whether it is due to a change in healthcare provider, transfer to a different facility, or a need for specialized care.
06
Include necessary medical information such as your current diagnoses, medications, allergies, and any ongoing treatments or surgeries.
07
If applicable, provide details about your insurance coverage or any financial arrangements related to the transition of care.
08
Sign and date the form to validate the information provided.
09
Make copies of the completed form for your own records, as well as any additional copies required by the receiving healthcare provider or facility.
10
Submit the filled-out transition of care form to the appropriate healthcare provider or facility as instructed.
Who needs transition of care form?
01
The transition of care form is typically needed by patients who are undergoing a change in healthcare providers, transferring to a different facility, or requiring specialized care.
02
It is also relevant for individuals who are being discharged from a hospital to ensure proper continuity of care.
03
Additionally, individuals with complex medical conditions, multiple medications, or extensive treatment plans may benefit from the use of a transition of care form.
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What is transition of care form?
A transition of care form is a document that records the transfer of a patient from one healthcare facility to another or from one healthcare provider to another.
Who is required to file transition of care form?
Healthcare providers and facilities are required to file a transition of care form when transferring a patient to ensure continuity of care.
How to fill out transition of care form?
Transition of care forms can typically be filled out electronically or on paper, and should include relevant patient information, medical history, medications, and reason for the transfer.
What is the purpose of transition of care form?
The purpose of a transition of care form is to ensure that important information about a patient's care is accurately transferred when they move between healthcare settings, to promote safe and effective care.
What information must be reported on transition of care form?
Information such as patient demographics, medical history, current medications, allergies, and reason for transfer must be reported on a transition of care form.
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