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Avista Adventist Hospital C O M M U N I T Y H E A LT H I M P L E M E N TAT I O N S T R AT E G Y ADOPTED NOVEMBER 2022TA B L E O F C O N T E N T S At a Glance Summary.......................................................................................................................
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Visit the Centura Health website or your healthcare provider to obtain the Centura Health First In form.
02
Fill out your personal information including name, address, date of birth, and contact information.
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Provide information about your insurance coverage and policy number if applicable.
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Include any relevant medical history or pre-existing conditions.
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Sign and date the form to certify its accuracy and completeness.

Who needs centura health first in?

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Individuals who are seeking medical services from Centura Health facilities.
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Patients who need to provide their personal and medical information to Centura Health staff.
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Centura Health First In is a healthcare program focusing on providing quality care and services to patients in the Centura Health network.
Providers and facilities within the Centura Health network who participate in certain healthcare services are required to file Centura Health First In.
To fill out Centura Health First In, providers must complete the required forms with accurate patient information, services rendered, and billing details, usually submitted electronically.
The purpose of Centura Health First In is to streamline healthcare processes, improve patient care delivery, and ensure compliance with healthcare regulations.
Information that must be reported includes patient demographics, insurance details, service dates, medical codes, and billing information.
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