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Sutter imaging referral form pdf

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The document is a Specialty Consultation/Referral Request form designed to facilitate communication between primary care physicians (PCPs) and specialists. It outlines the requirements for prior authorization, categorizes referrals as STAT, URGENT, or ROUTINE based on the urgency of the patient's condition, and specifies necessary medical documentation. The form also includes instructions for submitting requests to Sutter Case Management (CM) and emphasizes the importance of verifying member eligibility and benefits before treatment.

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Versions	Form popularity	Fillable & printable
2011	4 Satisfied (38 Votes)
2008	4.9 Satisfied (26 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is CPMC the same as Sutter Health?

Sutter Health is the largest private health care system in Northern California and California Pacific Medical Center (CPMC) is its flagship academic medical center.

What is an online referral form?

A referral form is an online form used to request referrals and provides the personal and contact information of both the referral and the referee. Customize and share online. Go to Category:Human Resources Forms. Use Template.

Are Palo Alto and Sutters health the same?

Sutter Health is a large not-for-profit network providing care for more than 100 Northern California communities. Palo Alto Medical Foundation (PAMF), part of the Sutter Bay Medical Foundation, serves over 1 million patients across Alameda, San Mateo, Santa Clara, and Santa Cruz counties.

Who owns Sutter medical?

It is owned and operated by Sutter Health, a Northern California not-for-profit health system.

Why is Sutter Health so expensive?

Thus, Sutters illegal anticompetitive conduct on a system-wide basis has discouraged competition, impaired price-conscious consumer choice, and resulted in inflated prices on a system-wide basis that exceed its competitors and exceed the prices its hospitals and its other providers could charge in a free, competitive

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What is a referral authorization form?

A RAF is a referral form used by a Primary Care Provider (PCP) to carry out his/her case management role. It is to be used to refer assigned members for medically necessary services not generally provided by the PCP. Each RAF can only be used once and should contain diagnostic and treatment orders for only one patient.

When did Sutter Health acquire Palo Alto Medical Foundation?

In 1981, the for-profit physician group PAMC created the not-for-profit PAMF to control its operations and assets, and in 1993, PAMF became an affiliate of Sutter Health, a not-for-profit organization with hospitals and medical groups in Northern California.

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Is CPMC the same as Sutter Health?

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Who owns Sutter medical?

Why is Sutter Health so expensive?

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What is a referral authorization form?

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