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Search results with tag "Continuity of care form"
Continuity of Care Form - Kaiser Permanente
my.kp.orgCONTINUITY OF CARE REQUEST FORM ATTENTION: UTILIZATION MANAGEMENT OPERATIONS CENTER MEDICAL: FACSIMILE (301) 388 - 1637 BEHAVIORAL HEALTH: FACSIMILE (301) 388-1638 887103 v1 7/28/2014 5 Behavioral Health - Review of your Continuity of Care request may be made within 3-5 business days after we receive all pertinent clinical information and documents to support this …
Continuity of Care - myuhc
www.myuhc.comenrollment period, you should fill out the appropriate Continuity of Care form. • I am, or a member of my family is, pregnant. • I am, or a member of my family is, presently in an acute hospital or scheduled to be in the hospital immediately after our UnitedHealthcare insurance becomes effective.