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Value Options Outpatient Review Form

Value Options Outpatient Review Form

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ID#:______________________ Patient's Employer/Benefit Plan: _________________________________________ Provider Name: ________________________________License _______________ Name of Program/Clinic (if applicable): ___________________________________ VO Provider ID # (if known): ________________Tel #_______________________ Service Address: ______________________________________________________ City/State/Zip: _______________________________________________________ Are you independently licensed...
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Good morning it's Bridget here with the lamplight Learning Channel my name is Bridget Richard I'm the founder of lamplight Counseling Services, and today I am introducing a new piece of paperwork I know yay paperwork, but I think that you're rEvally going to like this one we've already talked to a couple of staff about it, and they seem very excited about it in order to help you collect co-pays more effectively and to reduce some client resistance to paying the coast pays especially for those folks who have very, very high deductibles and therefore have very, very high co-pays we have developed this form you will need to look at this form and get it from your box every single day which means you need to check your box that from the time you walk in the door take it with you because this will be in for every new patient you have, and it has to be done at the time of intake now what will happen is the top part is not your responsibility when a patient calls in for an appointment as alway


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