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Mail: HSA Transition of Care PO Box 2001 Honolulu, HI 96805 Fax your application to 9445618 on Oahu or email it to NewMemberTransitionOfCare@hmsa.com. Transition of Care ApplicationQuestions? Call
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How to fill out hmsa transition of care

01
To fill out HMSA Transition of Care form, follow these steps:
02
Download the HMSA Transition of Care form from the official website or request a copy from your healthcare provider.
03
Fill in personal information such as your name, address, contact details, and HMSA ID number.
04
Provide details about your previous healthcare provider, including their name, address, and contact information.
05
Mention the reason for the transition of care, such as relocation, change in insurance plan, or change in healthcare needs.
06
Specify the effective date of the transition and whether it is temporary or permanent.
07
Attach any relevant medical records or documentation supporting the need for transition of care.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form.
10
Submit the filled-out form to HMSA through the designated submission channel, such as by mail, fax, or online portal.
11
Keep a copy of the form for your records.

Who needs hmsa transition of care?

01
HMSA Transition of Care is typically needed by individuals who are transitioning or transferring care from one healthcare provider to another.
02
It can be necessary for various reasons, including:
03
- Relocation to a new area where the current healthcare provider is not accessible
04
- Change in insurance company or plan, requiring a switch to a healthcare provider within the new network
05
- Change in healthcare needs or diagnosis that necessitates seeking care from a different specialist or facility
06
- Transition from one healthcare setting to another, such as from a hospital to a home care program
07
If you are unsure whether you need to fill out the HMSA Transition of Care form, it is recommended to contact HMSA or your healthcare provider for guidance.
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HMSA transition of care is a process where medical information is transferred when a patient moves from one healthcare provider to another.
Healthcare providers and facilities are required to file HMSA transition of care.
To fill out HMSA transition of care, providers need to include patient medical information, treatment plans, and relevant history.
The purpose of HMSA transition of care is to ensure continuity of care for the patient and to provide the new provider with necessary information for ongoing treatment.
Information such as patient medical history, current medications, allergies, treatment plans, and any relevant test results must be reported on HMSA transition of care.
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