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these instructions pertain specifically to the pockle requisition revised 9:22 2017 earlier versions of the baka requisition may not include all sections represented in this video it is imperative that any testing facility receive all the information required to properly test and diagnose each patient sample the requisition is a tool designed to help you provide all essential information required to test the patient sample and submit a valid insurance claim the requisition also helps avoid us having to call or fax your office to request missing information or request testing lets start with a date collected or date of service this information is required by all insurance providers without it all claims fail we need the first and last name on the requisition because the orders will also appear on the requisition if we do not have the first and last name on the form that contains the orders the orders are not invalid the date of birth is very important it helps ensure we have the corre