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Laboratory Services 9811 Woods Drive Suite H180 Skokie IL 60077 www. northshore. org Phone 847 663-2100 Ver 1/2015 Fax 847 663-2101 PATIENT STANDING ORDER REQUEST FORM PATIENT ONE TIME REQUEST FORM Account Name NSLS Account No Physician Name One time order request Standing order request Unless indicated standing orders expire twelve months 12 from order date Patient Name Date of Birth Patient Address Gender Billing Information Client Bill Test Code Patient Bill Test Name Medicare NorthShore IPA ICD-9 Additional copies to Effective Date Expiration Date Frequency Fax Number Physician Signature Although current guidelines from the Office of the Inspector General OIG do not prohibit the use of standing orders they specifically discourage their use. The guidelines do require that the written orders be obtained that an expiration date be included and that the order itself does not constitute medical necessity. Additional documentation an ICD-9 code at a minimum may be required* OIG warns tha....

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Standing order: Higher risk of late payments because there is no payment notification. It may take weeks before you realise a payment has failed – the customer may have cancelled it or there may be insufficient funds in the customer's bank account. Plus, customers are often slow to set up or amend standing orders.

: an instruction or prescribed procedure in force permanently or until changed or canceled. especially : any of the rules for the guidance and government of parliamentary procedure which endure through successive sessions until vacated or repealed.

What are the advantages of standing orders? Usually free of charge for both payer and payee. Fairly quick for payer to set up. The payer gets to set the amount sent. The payer also gets to set how long the standing order is in place for.

A standing order is set up by customers. They choose the amount and frequency, and can change or cancel it without notifying you. In contrast, you have full control over the payments you take by Direct Debit. You decide how much and how often you collect from customers.

These give the bank an instruction to pay an exact amount to their account regularly. For example, you might set up a standing order to pay your rent.

Disadvantages of standing orders Forgetting to set a standing order can lead to missing a payment and then receiving a demand for payment from the creditor, where you may have to pay interest on top of the amount owed. Many companies also refuse payment by standing order because they have no control over it.

But can you cancel a standing order? Yes, even if you set up the standing order to cover a certain period of time which hasn't yet elapsed, you can cancel a standing order whenever you like. Furthermore, you are the only person who can instruct the bank to cancel your standing order.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232