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Reference getting around MCO (Managed Care Organization) refers to the process of obtaining and communicating necessary references and authorizations for medical services covered under an MCO plan.
Providers and healthcare organizations that participate in managed care programs are typically required to file reference getting around MCO.
To fill out reference getting around MCO, gather the required patient and provider information, accurately complete the specific forms provided by the MCO, and submit them according to the guidelines set by the MCO.
The purpose of reference getting around MCO is to ensure that medical services are authorized, properly documented, and comply with the policies and procedures of the managed care organization.
Information that must be reported typically includes patient demographics, provider details, type of service requested, reason for the request, and any relevant medical history.
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