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Tenner Member Bus Transportation Restriction Remember Name: Member ID#: Tenner MCO: UnitedHealthcare Community Plan MCO Fax #: 8652510077 Please indicate any bus transportation restrictions for the
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How to fill out tenncare member bus transportation
How to fill out tenncare member bus transportation
01
To fill out Tenncare member bus transportation form, follow these steps:
02
Obtain a Tenncare member bus transportation form from the Tenncare office.
03
Fill in your personal information, including your name, address, and phone number.
04
Provide your Tenncare member ID number and the name of your primary care provider.
05
Indicate the date and time of your requested transportation.
06
Specify your pick-up location and destination, including any stops or transfers.
07
If you require any special accommodations or medical assistance during transportation, mention it.
08
Sign and date the form.
09
Submit the completed form to the Tenncare office either in person or by mail.
Who needs tenncare member bus transportation?
01
Tenncare member bus transportation is available for individuals who are enrolled in the Tenncare program.
02
This service is specifically designed for Tenncare members who require transportation assistance to access healthcare services.
03
Individuals who have limited mobility, do not have access to a vehicle, or are unable to drive themselves to medical appointments may qualify for Tenncare member bus transportation.
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What is tenncare member bus transportation?
Tenncare member bus transportation is a service that provides transportation for Tenncare members to medical appointments and other healthcare-related services.
Who is required to file tenncare member bus transportation?
Healthcare providers who offer transportation services to Tenncare members are required to file tenncare member bus transportation.
How to fill out tenncare member bus transportation?
To fill out tenncare member bus transportation, healthcare providers need to include details such as date of service, pick-up and drop-off locations, and purpose of transportation.
What is the purpose of tenncare member bus transportation?
The purpose of tenncare member bus transportation is to ensure that Tenncare members have access to necessary healthcare services by providing reliable transportation.
What information must be reported on tenncare member bus transportation?
Information such as date of service, time of pick-up and drop-off, member's name and ID, and purpose of transportation must be reported on tenncare member bus transportation.
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