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SIL ETZ NEWS Delores Presley, Tribal Chairman Kurtis Handkerchief Executive Office rand EditorinChiefConfederated Tribes of Silent Indians Vol. 51, No. 5Presorted First-class Mail U.S. Postage Paid
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01
Gather all necessary documentation such as referral forms, medical records, and payment information.
02
Fill out the purchased/referred care (PRC) application form completely and accurately.
03
Submit the application form along with all required documentation to the appropriate department or agency.
04
Wait for approval or denial of the PRC application.
05
If approved, follow any additional instructions provided for receiving care through PRC.

Who needs purchasedreferred care prc?

01
Individuals who do not have health insurance or whose insurance does not cover certain medical procedures may need purchased/referred care (PRC).
02
Low-income individuals who cannot afford to pay for medical care out-of-pocket may also benefit from PRC services.
03
Patients who require specialized medical treatment that is not available within their local healthcare network may be referred to PRC for assistance.
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Purchased/Referred Care (PRC) is a program through which the Indian Health Service (IHS) provides funding to cover the costs of medical services received by eligible American Indian and Alaska Native patients from non-IHS providers.
The healthcare facilities and providers who provide services to eligible American Indian and Alaska Native patients and seek reimbursement through the PRC program are required to file PRC claims.
To fill out a PRC claim, healthcare facilities and providers must gather all relevant information about the patient, the services provided, and any costs incurred. This information is then submitted to the local IHS office for processing.
The purpose of the PRC program is to ensure that eligible American Indian and Alaska Native patients have access to necessary medical services, even if these services are not available at IHS facilities.
The PRC claim must include information about the patient, the services provided, the costs incurred, the healthcare facility or provider, and any other relevant details needed for processing the claim.
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