Get Mba 20 Hdlldl Only Uhg Pathology Request Formdocx

Filling out the MBA 20 HDLLDL ONLY UHG Pathology Request Form online can streamline the process of submitting your pathology requests for life insurance purposes. This guide will walk you through each section of the form, providing clear and supportive instructions tailored to your needs.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your applicant details. Fill in your UHG/HSN ID number, given name, surname, address, state, postcode, and date of birth. Ensure all information is accurate for proper processing.
3. In the pathology data entry section, you will need to provide your doctor's details. Enter the doctor's name and account name, as well as the respective billing codes. This part is crucial for directing results appropriately.
4. Mark clearly all tests requested for life insurance purposes by placing an ‘X’ in the corresponding boxes. Be sure to review the list of tests and include any additional specified tests under 'Other' as needed.
5. Proceed to the collector's instructions section. Indicate if fasting is required and specify the number of hours. You may need to enter additional details regarding specimen collection and the types of tubes required.
6. In the identification and collector’s declaration part, the collector must sign and enter their details while confirming the applicant's identity. Ensure that the required identification type is specified.
7. Lastly, the applicant must review the privacy statement and sign to authorize specimen collection and analysis. Enter the date to finalize this section.
8. Once all sections are completed, review the entire form for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your pathology request form online today to ensure a smooth and efficient process.