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Basinger Health Plan Specialty Prescription Referral Format: 18334760773 | Phone: 18443990477 www.performspecialty.com Access. Outcomes. Personalized Care. GAP PLAN CODE:First Ship To:Patented by
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The ghp referral form ilustrator is a form used to refer a patient to a designated provider within a Group Health Plan.
Healthcare providers are required to file the ghp referral form ilustrator when referring a patient to a designated provider within a Group Health Plan.
To fill out the ghp referral form ilustrator, healthcare providers need to input patient information, details of the referral, and provider information.
The purpose of the ghp referral form ilustrator is to ensure that patients are referred to designated providers within Group Health Plans in an organized and efficient manner.
The ghp referral form ilustrator must include patient details, reason for referral, referring provider information, and designated provider information.
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