Get the free Continuity of Care Request Form - cahealthwellness.com
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Continuity of Care Request Form Medical Plan: 18776580305 Today's date: Form must be completed fully to avoid a processing delay. Please print. Patients name (last, first, MI):Patients callback number:Medical
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What is continuity of care request?
Continuity of care request is a formal request made by a patient to ensure that they can continue to see their current healthcare provider even if there are changes to their insurance coverage or network.
Who is required to file continuity of care request?
Patients who wish to continue seeing their current healthcare provider despite changes to their insurance coverage or network are required to file a continuity of care request.
How to fill out continuity of care request?
Patients can fill out a continuity of care request by contacting their insurance provider and requesting the necessary forms or information on how to submit the request.
What is the purpose of continuity of care request?
The purpose of continuity of care request is to ensure that patients are able to maintain their relationship with their current healthcare provider, even if changes occur in their insurance coverage or network.
What information must be reported on continuity of care request?
Continuity of care request typically requires information such as the patient's current healthcare provider, the reason for the request, and any relevant medical information.
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