In order to obtain maximum efficiency in processing charges, Prescient Practice Management will require the following duties to be exercised and performed by each of our clients:

• Provide accurate and updated patient information that includes patient and guarantor demographics.
  • Sample patient demographics form (English)
  • Sample patient demographics form (Spanish)
  • (Adobe Reader is required to view these samples. If you don't have it, get it here.)
• Provide patient insurance information that includes group policy and identification numbers, effective date, and a copy of the front and back of recipient card.
• Collect insurance co-pays if applicable.
• Provide referral forms as needed.
• Signed authorization from patient for Assignment of Benefits.
• Signed authorization from patient allowing the use patient's medical records as required for obtaining payment of claims.
• Doctor notes and operative reports as required.
• Completed office encounter forms.
• Copies of all payments and explanation of benefits received.
• A contact person for obtaining information upon request.