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Transition of Care Application If you are actively undergoing treatment for a serious, life-threatening medical condition, and your primary specialist is not covered in the Fallon Select network,
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How to fill out transition of care application

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How to fill out transition of care application

01
Gather all necessary information and documents, such as personal contact information, medical history, and current healthcare provider's information.
02
Download or obtain a transition of care application form from your new healthcare provider or insurance company.
03
Read the instructions and guidelines provided with the application form carefully.
04
Fill out the application form accurately and completely, providing all required information.
05
Attach any supporting documents or medical records that may be needed to support your application.
06
Review the filled-out form and supporting documents for any errors or missing information.
07
Submit the completed transition of care application form along with any required documents to your new healthcare provider or insurance company, either by mail, email, or in person.
08
Follow up with your new healthcare provider or insurance company to ensure that your transition of care application is received and being processed.
09
Keep a copy of the filled-out application form and all supporting documents for your records.

Who needs transition of care application?

01
Transition of care application is typically needed by individuals who are switching healthcare providers or insurance plans.
02
It is also useful for patients who are being discharged from a hospital or care facility and need to continue their medical care with a new provider.
03
Patients with chronic conditions or complex medical needs may require a transition of care application to ensure a smooth transfer of their medical records and continuity of care.
04
Additionally, individuals who are relocating to a new area or changing their primary care physician may also need to fill out a transition of care application.
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Transition of care application is a form used to communicate patient information from one healthcare provider to another during a transfer of care.
Healthcare providers and facilities involved in the transfer of care are required to file the transition of care application.
The transition of care application can be filled out electronically or manually by providing relevant patient information, medical history, and treatment plans.
The purpose of the transition of care application is to ensure continuity of care for patients and facilitate the exchange of information between healthcare providers.
Information such as patient demographics, medical history, current medications, allergies, and treatment plans must be reported on the transition of care application.
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