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CERTIFICATION OF THE DECISION TO TERMINATE PREGNANCY Instructions This form must be completed by the physician and the patient for the abortion to be covered by Well Sense Health Plans New Hampshire

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How to fill out is ithttpswwwwellsenseorgproviders

01

To fill out iSIS, follow these steps:

02

Go to the website https://www.wellsense.org/providers

03

Click on the 'iSIS' tab or link

04

Login using your credentials

05

Navigate to the 'Forms' section

06

Select the form you need to fill out

07

Carefully enter the required information in each field

08

Review the form for any errors or missing information

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Submit the form once all information is entered correctly

Who needs is ithttpswwwwellsenseorgproviders?

01

iSIS is needed by healthcare providers who are registered with Wellsense. It is an online platform for providers to access and fill out various forms, submit claims, and manage their accounts. It is particularly useful for healthcare facilities and professionals who need to interact with Wellsense for the purpose of billing, authorization, and other administrative tasks.

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