Get the free SoonerCare Lodging and/or Meals Request form (referral form)

Stoneware Lodging and/or Meals Request Referring Contact Name: Phone: Member Name: Stoneware ID# Address: Contact Name: Contact Number: Diagnosis: Visit Information Inpatient Outpatient (Select all

How to fill out SoonerCare Lodging andor Meals Request form

How to fill out SoonerCare Lodging andor Meals Request form

1. Obtain the SoonerCare Lodging and/or Meals Request form from the SoonerCare website or your healthcare provider.
2. Fill in your personal information at the top of the form, including your name, address, and SoonerCare member ID.
3. Indicate the dates for which you are requesting lodging or meals.
4. Specify the reason for your request, including details about your medical appointment or treatment.
5. Attach any required documentation, such as appointment confirmations or travel itineraries.
6. Review the form to ensure all sections are completed accurately.
7. Submit the form as directed, either by mail, fax, or online submission.

Who needs SoonerCare Lodging andor Meals Request form?

1. Individuals who are SoonerCare members and need assistance with lodging or meals due to medical appointments or treatments.

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What is SoonerCare Lodging andor Meals Request form?

The SoonerCare Lodging and/or Meals Request form is a document used by the Oklahoma SoonerCare program to request reimbursement for lodging and meal expenses incurred by eligible individuals while receiving medical care.

Who is required to file SoonerCare Lodging andor Meals Request form?

Individuals who are enrolled in SoonerCare and have incurred lodging or meal expenses related to traveling for medical services may be required to file the SoonerCare Lodging and/or Meals Request form.

How to fill out SoonerCare Lodging andor Meals Request form?

To fill out the SoonerCare Lodging and/or Meals Request form, individuals should provide their personal information, details of the medical appointment, and itemized receipts for lodging and meals, ensuring all required fields are accurately completed.

What is the purpose of SoonerCare Lodging andor Meals Request form?

The purpose of the SoonerCare Lodging and/or Meals Request form is to allow eligible SoonerCare members to claim reimbursement for out-of-pocket lodging and meal expenses incurred while traveling for necessary medical care.

What information must be reported on SoonerCare Lodging andor Meals Request form?

The form must report the member's personal information, travel dates, details of the medical service received, itemized receipts for lodging and meals, and any other relevant information as required by the SoonerCare program.