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Get the free Referrals and PrecertificationsPatients & Visitors

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Toll Free:Fax:Medically Urgent Fax:Dartmouth Hitchcock Clinics(866) 3462362 (603) 6764080 (603) 6401909Referring Provider: ___ Office Phone: ___ Practice Name: ___ Fax: ___ Practice Address ___PCP
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How to fill out referrals and precertificationspatients ampamp

01
Obtain referral form from the referring physician or provider.
02
Fill out the patient's personal information including name, date of birth, and insurance information.
03
Provide details of the medical services needed and reason for referral.
04
Submit the completed referral form to the insurance company for approval.
05
Obtain precertification forms from the treating physician or provider.
06
Fill out the precertification form with patient and medical service details.
07
Submit the precertification form to the insurance company for approval.

Who needs referrals and precertificationspatients ampamp?

01
Patients who require specialized medical services or treatments.
02
Patients who have insurance plans that require referrals for certain services.
03
Healthcare providers who need approval from insurance companies for specific medical procedures or treatments.
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Referrals and precertifications are a process in which a patient's primary care physician refers them to a specialist or a specific healthcare service that requires precertification from the insurance company.
Referrals and precertifications are typically filed by healthcare providers, such as physicians, hospitals, or clinics, on behalf of the patient.
To fill out referrals and precertifications, healthcare providers must provide all necessary information about the patient, their medical condition, the reason for the referral, and any supporting documentation required by the insurance company.
The purpose of referrals and precertifications is to ensure that patients receive appropriate and necessary healthcare services in a timely manner while also preventing unnecessary procedures and treatments.
Information reported on referrals and precertifications may include the patient's personal information, medical history, diagnosis, recommended treatment plan, and any other relevant details.
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