WebbThis form is to be completed by physicians, hospitals or other health care professionals for claim reconsideration requests for our members. Note: • Please submit a separate form for each claim • No new claims should be submitted with this form • Do not use this form for formal appeals or disputes. Continue to use your standard process. WebbShare HealthCare is not health insurance. We are a non-profit, ACA-exempt medical cost sharing ministry using the latest online technology to provide an enhanced user experience along with convenient and affordable access to the healthcare you need. Our secure online sharing network allows us to offer direct member-to-member medical cost sharing.

About Share HealthCare Medical Cost Sharing

WebbForms - Shared Health - Health Providers Home > Forms Forms This is the main forms page. This site is not intended to be used by the general public. If you are not a health care professional or a Shared Health staff member, please refer to our public website. Webbshared care. v. To prescribe the first month’s supply or a sufficient prescription until the maintenance dose is reached. vi. To contact the patient’s GP to request prescribing under shared care request form. vii. To complete baseline and initiation monitoring tests as per above and make the results available to patient’s GP. images olympic national park

System access - Staff site

Webbtransfer to primary care. [4] Ensure that a copy of the shared guideline is sent to the GP and that Appendix A (Shared Care Request form) has been returned by the GP confirming acceptance prior to initiating agreement. [5] Clinical and laboratory supervision of the patient by blood monitoring and routine clinical follow up on a regular basis. WebbShared Care Agreements and Templates This section of the website is currently under development. This means some parts may not work properly and some documents referred to may not be accessible yet. Please bear with us as we make the website as accessible as possible. Document library Templates Shared Care Agreements WebbForms Contact Us 734-615-2000 [email protected] M-F, 8:00AM-5:00PM My Saved Forms Please loginwith your University credentials to save or view forms. All Forms Sort forms by category: Select a category ALL Accounting Services Approver Table Maintenance Chartfield Requests Earmarks (UDC Request) Journal Entries image solve the triangle in the figure