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The document is a request form for Anthem Blue Cross Blue Shield members seeking in-network coverage for medical services from the Children's Hospital of The King's Daughters Health System (CHKDHS). It outlines the necessary information required from the parent or guardian, including details about the child, the requested services, and reasons for needing in-network coverage despite CHKDHS becoming an out-of-network provider after June 1, 2011. The form emphasizes that Virginia law entitles the child to receive these services on an in-network basis under certain conditions.

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Is CHKD sentara?

Sentara Quality Care Network (SQCN) is a local collaborative of nearly 4,000 providers from Sentara Health, Childrens Hospital of the Kings Daughters (CHKD) hospital and outpatient facilities, Eastern Virginia Medical School (EVMS) and independent practices.

Who owns Kings Daughters hospital?

The hospital, which is owned by the University of Kentucky, is a locally managed, not-for-profit 465-bed facility that offers cardiac, medical, surgical, pediatric, rehabilitative, psychiatric, cancer, neurological, pain care, wound care and home care services.

Is CHKD a nonprofit organization?

As a non-profit organization established and supported by our local community, Childrens Hospital of The Kings Daughters has a strong commitment to assess and meet the healthcare needs of our regions children.

Is CHKD only in Virginia?

Today, CHKD remains the only full-service freestanding childrens hospital in Virginia and serves the medical and surgical needs of children throughout greater Hampton Roads, the Eastern Shore of Virginia, and northeastern North Carolina.