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TRANSITION OF CARE REQUEST FORM Mail to: Anthem Blue Cross and Blue Shield Attn: Medical Management Mail Drop VA44A P.O. Box 27401 Richmond, VA 23279Fax to: Medical Management (804) 3542578TRANSITION
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Describe the patient's medical history, including any relevant conditions, surgeries, or hospitalizations.
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What is anformm transition of care?
Anformm transition of care refers to the process and documentation needed when patients shift from one care setting to another, ensuring continuity and quality of care.
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Healthcare providers or organizations responsible for patient care during the transition are required to file anformm transition of care.
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To fill out anformm transition of care, gather necessary patient information, document the care transition details, and ensure all required fields are accurately completed before submission.
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The purpose of anformm transition of care is to facilitate safe and effective patient transfers between healthcare settings and to ensure that all relevant medical information follows the patient.
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The information that must be reported includes patient demographics, medical history, current medications, care plan details, and contact information for providers involved in the patient's care.
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