Get Chministries

Filling out the Chministries Needs Processing Form is an essential step for members seeking assistance with medical bills. This guide provides clear and concise instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the Chministries Needs Processing Form

1. Press the ‘Get Form’ button to obtain the Needs Processing Form and access it in a digital format for your convenience.
2. Begin by filling out the member information section. Enter your member number, home phone, primary member name, work phone, valid email address, the name of your church, church address, and cell phone number as appropriate. Ensure that all details are accurate and legible.
3. Proceed to the patient information section. Provide the patient's name and date of birth. Include the physician's diagnosis and the date symptoms began, along with the patient's age.
4. If applicable, indicate whether you had signs, symptoms, or received treatment for this condition prior to joining CHM. For maternity cases, fill in the expected due date and the actual date of birth, along with the child's name.
5. For Medicare-eligible members, attach the Medicare Explanation of Benefits (EOB) form instead of itemized medical bills when submitting documents.
6. If the medical incident stems from an accident, specify where the accident occurred (home or other) and ensure to submit relevant documentation if the accident occurred on another property.
7. Conclude by reviewing the statement regarding participation in CHM and confirm that all member information is true to the best of your knowledge. Sign and date the form.
8. Finally, save any changes made to the form. You can choose to download, print, or share the completed form as needed.

Complete your Chministries Needs Processing Form online today and take the necessary steps toward addressing your medical bills.