Get Specialty Consult And Referral Request - Sutter Medical Foundation
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How to fill out the Specialty Consult And Referral Request - Sutter Medical Foundation online
The Specialty Consult And Referral Request form is essential for facilitating referrals from primary care providers to specialists within the Sutter Medical Foundation. This guide provides users with step-by-step instructions on how to accurately complete the form online to ensure a smooth referral process.
Follow the steps to successfully complete the referral request.
- Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin by entering the member’s name, group or IPA name, date, and date of birth. Ensure all personal information is accurate to avoid delays.
- Input the health plan and insurance ID number. For specific patient cases, include the medical record number (MRN) if applicable.
- Specify the clinician being referred to and include the number of visits required. Indicate the type of appointment—consult only, consult with follow-up visits, transfer of care, or in-office procedure.
- Provide the effective and expiration dates for the referral, as well as detailed information about the specialty involved.
- Complete the sections for brief medical history, diagnosis, CPT code(s), and ICD-9 codes. Ensure that all required medical documentation is compiled.
- In the attachments section, include any relevant documents such as the most recent history and physical (H&P), office notes, imaging results, surgical reports, EKG, and lab/pathology reports.
- Fill in the information for the referring clinician, including their office contact details, signature, and NPI number.
- Review all information entered to ensure accuracy and completeness. Make any necessary changes before final submission.
- Once completed, save the changes, and download, print, or share the form as required for submission.
Complete your Specialty Consult And Referral Request form online to ensure prompt processing of your referral.
While Sutter Health is facing some challenges, it's important to understand the context behind these financial issues. The ongoing investigation may affect their financial stability, but they continue to operate and provide care. As you navigate a Specialty Consult And Referral Request - Sutter Medical Foundation, consider this information when choosing your healthcare options.
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