Get the free Continuity of Care Request Form

Este formulario se debe completar y enviar si su plan de salud Anthem terminó debido a que el contrato de su empleador con nosotros fue rescindido. Es importante que su atención no se interrumpa

How to fill out continuity of care request

How to fill out continuity of care request

1. Gather your personal health information, including medical history and current medications.
2. Identify your new healthcare provider and their contact information.
3. Obtain the continuity of care request form from your new provider or health insurance company.
4. Fill out your personal details in the form, including your name, date of birth, and insurance information.
5. Specify the reason for the continuity of care request, such as ongoing treatment or specialist care.
6. List the healthcare providers involved in your care and their contact details.
7. Review the form for accuracy and completeness.
8. Submit the form to your new healthcare provider or your insurance company as instructed.

Who needs continuity of care request?

1. Anyone transitioning from one healthcare provider to another who requires ongoing treatment.
2. Patients changing insurance plans that may affect their current care.
3. Individuals with complex medical needs who require consistent follow-up care.

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What is continuity of care request?

A continuity of care request is a formal request to ensure that a patient continues to receive necessary medical care and treatment, especially when transitioning between different healthcare providers or insurance plans.

Who is required to file continuity of care request?

Patients, their representatives, or healthcare providers are typically required to file a continuity of care request to facilitate the ongoing management of care during transitions.

How to fill out continuity of care request?

To fill out a continuity of care request, individuals should provide their personal information, details of their current healthcare provider, the services and treatments required, and any relevant medical history or documentation.

What is the purpose of continuity of care request?

The purpose of a continuity of care request is to ensure that patients maintain access to their healthcare services without interruption, even during changes in insurance or provider networks.

What information must be reported on continuity of care request?

The information that must be reported typically includes patient identification details, current and past providers, specific treatments needed, medical history, and any contributing factors related to the patient's health condition.