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NEW PATIENT HISTORY Format: Patient Name: (Last)(First)Date of Birth / / Sex MF Chief Complaint: Primary Care Physician Name Referring Doctor Name Pharmacy Renumber Number Undercurrent Medications
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What is referring doctor name?
The referring doctor name is the name of the physician who recommends a patient to another healthcare provider or specialist for further evaluation or treatment.
Who is required to file referring doctor name?
Healthcare providers or organizations that are billing for services rendered must file the referring doctor name when applicable.
How to fill out referring doctor name?
To fill out the referring doctor name, include the full name, NPI (National Provider Identifier), and, if necessary, the practice address of the referring physician in the designated section of the billing form.
What is the purpose of referring doctor name?
The purpose of the referring doctor name is to identify the physician responsible for referring a patient, which helps ensure proper communication and coordination of care between healthcare providers.
What information must be reported on referring doctor name?
The information that must be reported includes the referring doctor's full name, NPI, and may also include the contact information or address of the referring physician.
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