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How to fill out the Cigna Hmo Referral Form online
The Cigna Hmo Referral Form is a crucial document for facilitating access to necessary medical or mental health services through Cigna's case management team. This guide will provide you with clear, step-by-step instructions on how to effectively complete this form online, ensuring that all pertinent information is accurately captured.
Follow the steps to complete the Cigna Hmo Referral Form online.
- Press the ‘Get Form’ button to obtain the Cigna Hmo Referral Form and open it in your preferred editor.
- Begin by filling out the patient information section. Include the patient's full name, phone number, Cigna ID, and date of birth in the specified fields.
- Next, provide the referring health care professional information. Enter the name of the referring professional, their phone number, and the referral date. Ensure that all details are correct and up-to-date.
- In the diagnosis section, succinctly describe the patient's medical condition that necessitates the referral.
- Specify the reason for the referral in the corresponding field, highlighting the patient's needs and any relevant details.
- Indicate whether the patient has agreed to receive an outreach call from the case management team by selecting 'yes' or 'no'.
- If you would like to receive a call from a Cigna case management team member to discuss the patient's case, indicate your preference.
- Once all fields are accurately filled, you have the option to save your changes, download the form, print it for physical submission, or share it as needed.
Take action now and complete your Cigna Hmo Referral Form online.
An example of referring a patient might involve a primary care physician who notices that a patient has specific needs that require a specialist. The physician would complete the Cigna Hmo Referral Form, indicating the patient's details, the reason for the referral, and the type of specialist needed. This structured referral aids in seamless transitions and clear communication between healthcare providers, ensuring that your patient receives the best care available.
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