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SENT COMMUNITY PHYSICIANS Supporting Documentation Standard Cover Sheet Health Plan: Date Cover Sheet Prepared: Attention: Cost CostContainment Containment ONE cover sheet per submitted claim & DO
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01
Obtain a copy of the Sant Community Physicians application form.
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Read through the form and ensure you have all the necessary information and documents ready.
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Begin by filling out your personal information such as your full name, address, date of birth, and contact details.
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Provide details about your medical history, including any pre-existing conditions, medications you are currently taking, and any allergies you may have.
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Indicate your preferred primary care physician or let the Sant Community Physicians assign one for you.
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If applicable, provide information about your health insurance coverage.
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Review the completed form to make sure all the information is accurate and up to date.
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Sign and date the form.
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Submit the form to the designated Sant Community Physicians office either in person, by mail, or online if available.
10
Follow up with the office to ensure your application has been received and processed.

Who needs sant community physicians?

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Anyone who is in need of primary care services can benefit from Sant Community Physicians.
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This includes individuals of all ages and backgrounds who require routine medical check-ups, preventive care, and treatment for common illnesses and injuries.
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Sant Community Physicians cater to patients who value personalized and comprehensive healthcare services within a community setting.
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Whether you are a senior citizen, a working professional, a student, or a family seeking reliable and accessible healthcare, Sant Community Physicians can meet your needs.
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Sant Community Physicians is a medical group that provides healthcare services to the community.
All healthcare providers who are part of the Sant Community Physicians group are required to file.
Sant Community Physicians can be filled out online or through the designated portal provided by the medical group.
The purpose of Sant Community Physicians is to accurately report healthcare services provided by the medical group.
Information such as patient demographics, services provided, and billing codes must be reported on Sant Community Physicians.
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