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COORDINATION OF CARE FORM (Please write clearly) Patient Name ___Patient Date of Birth ___Treating Provider Information Name: ___Phone: ___Address: ___Fax: ___The patient is being treated for the

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How to fill out Anthem Coordination of Care

1. Start by obtaining the Anthem Coordination of Care form from the Anthem website or your healthcare provider.
2. Fill in your personal information, including your name, date of birth, and contact information.
3. Provide information about your primary care physician and any specialists you currently see.
4. Indicate the type of care services you are seeking coordination for.
5. Detail any current health conditions, medications, and allergies you have.
6. Sign and date the form to authorize Anthem to share your health information with necessary parties.
7. Submit the completed form to Anthem via their specified method, such as online, mail, or fax.

Who needs Anthem Coordination of Care?

1. Individuals with chronic health conditions who require coordinated care among multiple health providers.
2. Patients undergoing complex medical treatments that necessitate collaboration between various specialists.
3. Members of Anthem insurance plans who seek assistance in managing their healthcare services effectively.
4. Anyone transitioning from one healthcare provider to another and needing their medical history shared.

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What is Anthem Coordination of Care?

Anthem Coordination of Care is a process used by Anthem to manage and coordinate health care services for its members, ensuring that they receive appropriate and effective treatment across multiple providers.

Who is required to file Anthem Coordination of Care?

Health care providers, including physicians and specialists, are typically required to file Anthem Coordination of Care to ensure proper communication and management of patient care.

How to fill out Anthem Coordination of Care?

To fill out Anthem Coordination of Care, providers should complete the designated form with patient information, details of the services provided, and any referrals made. It may also require signatures and dates.

What is the purpose of Anthem Coordination of Care?

The purpose of Anthem Coordination of Care is to enhance patient outcomes by streamlining communication between various healthcare providers involved in a patient's treatment, reducing the risk of errors and duplicative services.

What information must be reported on Anthem Coordination of Care?

The information that must be reported includes patient demographic details, diagnosis, treatment plans, services rendered, provider information, and any follow-up care needed.