Get Skilled Nursing Facility (snf) - Tricare4u.com

Filling out the Skilled Nursing Facility (SNF) form for TRICARE can be crucial for securing necessary care. This guide provides a clear, step-by-step approach to help users navigate the process efficiently.

Follow the steps to complete the online form with ease.

1. Press the ‘Get Form’ button to access the form and open it for completion.
2. Fill in provider information completely. Include the service provider or facility name, contact name, billing Tax ID or NPI, address including city, state, and ZIP code, and telephone and fax numbers. Ensure that the email address is accurate.
3. Complete the patient information section. This includes entering the TRICARE Sponsor Number or DoD Benefit ID, sponsor name, patient name, and patient date of birth. Patient address is optional. Include the patient's contact telephone number and indicate if there is other insurance expected to cover the services.
4. In the requested service information section, make sure to fill in all necessary fields. Provide details of the 3-day qualifying hospital stay dates, Medicare or other insurance exhaust date, start date for TRICARE authorization, and the diagnosis code along with its description.
5. Ensure that you attach the required documentation for smoother processing, including the last four weeks of medical records such as the history and physical report, discharge summary, MD orders, progress notes, and other relevant evaluations.
6. Review all entered information for accuracy. Once verified, you can save changes, download a copy, print, or share the form according to your needs.

Complete the Skilled Nursing Facility form online today to ensure a seamless care experience.