Get the free Continuation of Care Request Form

This form is used by CareFirst BlueCross BlueShield patients and their covered dependents to request continuation of treatment when enrolling in a DC fully-insured plan. It outlines the process for submitting prior authorization requests and the necessary information required from both the patient and their healthcare provider.

How to fill out continuation of care request

How to fill out continuation of care request

1. Start by gathering all necessary patient information including name, contact details, and insurance information.
2. Identify the specific service or treatment being requested for continuation of care.
3. Complete the required forms accurately, ensuring all sections are filled out according to the guidelines.
4. Provide any relevant medical records or physician notes that support the request.
5. Review the form for completeness and accuracy before submission.
6. Submit the request to the appropriate healthcare provider or insurance company as directed.

Who needs continuation of care request?

1. Patients transitioning from one level of care to another (e.g., hospital to home).
2. Individuals requiring ongoing treatment for chronic or complex health conditions.
3. Those who have recently changed healthcare providers and need to ensure continuity of their care.
4. Patients seeking referrals to specialists or additional services.

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What is continuation of care request?

A continuation of care request is a formal process that allows a patient to continue receiving medical services or treatments from a specific provider after a change in health insurance plans or after a plan's coverage of the provider has ended.

Who is required to file continuation of care request?

The patient or their authorized representative is typically required to file a continuation of care request.

How to fill out continuation of care request?

To fill out a continuation of care request, the patient should gather necessary information including their personal details, the specific services or treatment they wish to continue, the name of the provider, and any relevant medical records or supporting documentation before submitting the request to their health insurance plan.

What is the purpose of continuation of care request?

The purpose of a continuation of care request is to ensure that patients can maintain ongoing treatment with their preferred healthcare providers without interruption, especially during transitions in health insurance coverage.

What information must be reported on continuation of care request?

The information that must be reported on a continuation of care request typically includes the patient's name, insurance information, details of the requested care or service, the provider's information, and any relevant medical history.