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CLTL1-000509-en-US | A | Patient Request Submission Step 2 (Adding Patient Demographic And Insurance Details/How To Add Additional Insurances)

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Patient Request Submission Step 2 (Adding Patient Demographic And Insurance Details/How To Add Additional Insurances)

The user will have a customized view based on their practice specifics. If multiple locations have been added to the profile by the user, there will be multiple addresses to select from indicating where treatment will take place for the patient request being entered. Once the practice address is selected, the physicians associated to that address will be available for selection if the desired provider is not visible. The user can add additional physicians from within the user tab. Finally, the user can select an existing patient or select new patient, which will allow them to enter required information. All entries with an asterisk indicate required information. Multiple insurances for the same patient can also be added for investigation. The user should enter any and all insurances for accurate coordination of benefit details.