Get Humana Request For Continuity Of Care Form 2020-2025
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How to fill out the Humana Request For Continuity Of Care Form online
Filling out the Humana Request For Continuity Of Care Form online is an essential step for those who need to continue receiving care from their current healthcare providers. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.
Follow the steps to fill out the form correctly.
- Use the ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin by selecting the appropriate checkboxes for any situations that apply to you or your family member that involve continuity of care, such as ongoing medical treatment or chronic medical conditions.
- Next, fill in the member information section. Provide your first name, middle initial, last name, member ID number, patient name, and subscriber name.
- Complete your address details, including your street address, city, state, and zip code.
- Include your home and work phone numbers to ensure Humana can reach you if necessary.
- Specify your birthdate in the format MM/DD/YY.
- Indicate the type of plan you have by checking the appropriate box for HMO, PPO, or POS.
- Provide the name and phone number of your treating physician to facilitate communication regarding your care.
- Once all sections are completed accurately, review your information for any errors or omissions before finalizing.
- Save your changes and choose to download, print, or share the form as needed. Ensure the form is submitted within the 30-day timeframe.
Start filling out your Humana Request For Continuity Of Care Form online today to ensure uninterrupted care.
To submit a corrected claim to Humana, use their online portal or contact customer service for guidance. Ensure you have all necessary details and documentation, including the original claim and any pertinent information from the Humana Request For Continuity Of Care Form. This will help prevent delays and ensure the correction is processed promptly.
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