Get Prometheus Anser Test Requisition Form

Filling out the Prometheus Anser Test Requisition Form online can streamline the process of ordering necessary tests. This guide provides comprehensive instructions to ensure that users can complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Select the 'Get Form' button to access the form in your preferred online environment.
2. Enter the provider/account information in the designated fields, including account name, address, and contact information such as phone and fax numbers.
3. In the sample collection section, input the required date and time when the sample is collected, along with the patient ID and sender sample ID.
4. Complete the patient information fields. Add the patient's last name, first name, date of birth, and address. Ensure to include a contact number.
5. Provide clinical information such as the reason for the order, clinical diagnosis, and any relevant ICD codes.
6. Specify the dosage information, frequency, and route of administration for any medication. Be sure to note any infusion or injection date.
7. Select the appropriate test to be performed from the list provided, ensuring all required billing information is included for each test ordered.
8. If necessary, enter the primary and secondary insurance information, including policy numbers and group names. Ensure to attach copies of the insurance cards.
9. Finally, review all the filled information for accuracy. Save the changes. You can choose to download the form, print it, or share it as needed.

Complete your documents online today for a smoother process.