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Maternity Notificationformfinal XLS

Maternity Notificationformfinal XLS

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texas children's health plan has updated the existing pregnancy notification form to make it easier for you to help us identify pregnant members the new form is called the initial prenatal visit form the form is located at ww texas children's health plan org slash providers click on the providers link and click on initial visit for the online OB initial visit forms should be submitted after the members initial prenatal visit you will need to complete the form in its entirety for it to be accepted providers who are eligible include in or out of network physician providing OB care for pregnant TC HP members providers must submit one notification / pregnancy within 14 days of the visit if you would prefer to print and fax the initial prenatal visit form please click here and fax the form to eight three two eight two five eight seven seven nine please note completion of this form is for informational purposes only and it is not an authorization of services for authorization contact utiliza

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