Get Uhc1098a 2011-2026

Filling out the UHC1098a form is essential for documenting a patient's discharge summary accurately. This guide will provide you with comprehensive and clear instructions to ensure you complete the form online correctly.

Follow the steps to successfully complete the UHC1098a form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the demographic and contact information, including the patient's date of birth, name, Social Security Number (SSN), JD#, discharge address, and discharge phone number. Verify the accuracy of this information with the patient or an authorized representative.
3. Provide the inpatient provider information, including the name and phone number of the discharging facility to ensure proper communication.
4. Fill in the admission and discharge dates, confirming the type of discharge by checking the corresponding box. Indicate the level of care from which the patient is discharging, and select the appropriate discharge destination.
5. Complete the medication at discharge and diagnosis section thoroughly. Use an additional sheet if necessary and ensure that any required prior authorizations have been completed before discharge.
6. Evaluate the patient for necessary aftercare appointments, documenting any required referrals for mental health intake, medication management, therapy, case management, and alcohol and drug services based on clinical necessity.
7. If applicable, schedule all necessary aftercare appointments, noting whether the patient accepted or refused services for mental health and primary care.
8. Finally, ensure the discharge summary form is signed and dated by the responsible individual. Review all information for accuracy before submission.
9. Once completed, you can save changes, download, print, or share the form as needed.

Start filling out the UHC1098a form online today to ensure accurate documentation of the patient's discharge.