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How do I fill this out?
To begin filling out this form, ensure you have all required patient information at hand. Carefully complete each section with accurate and current details. Review the completed form for any errors before submission.
How to fill out the Athena Diagnostics Test Requisition Form?
1
Gather patient and physician details.
2
Complete all sections of the form accurately.
3
Attach any necessary medical records or test results.
4
Verify that all information is correct.
5
Submit the form via fax to Athena Diagnostics.
Who needs the Athena Diagnostics Test Requisition Form?
1
Physicians who require genetic testing for patients.
2
Hospitals needing to submit patient testing requisitions.
3
Laboratories conducting genetic or immunological testing.
4
Insurance companies processing billing for these tests.
5
Patients undergoing genetic testing or family testing.
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What are the instructions for submitting this form?
To submit the form, fax it to 1.610.271.6085. Ensure that all required information is complete before submission. For any inquiries, contact Client Services at 1.800.394.4493, option 2.
What are the important dates for this form in 2024 and 2025?
Key dates for submitting requisitions in 2024 and 2025 include submission deadlines for insurance billing on a quarterly basis. Ensure your submissions align with these timelines for seamless processing.
What is the purpose of this form?
The purpose of this form is to facilitate accurate specimen collection and billing for genetic testing by Athena Diagnostics. It ensures that all necessary patient and physician information is documented for efficient processing. By using this form, healthcare providers can guarantee compliance with testing and insurance requirements.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Details about the patient including name, date of birth, and contact information.
- 2. Physician Information: Information about the ordering physician including NPI and contact details.
- 3. Specimen Information: Fields to enter details about the type and source of the specimen.
- 4. Test Information: Sections to fill in regarding the specific tests being requested.
- 5. Billing Information: Details required for billing purposes, including insurance and payment options.
What happens if I fail to submit this form?
Failure to submit this form accurately may result in delays in test processing or billing issues.
- Delays in Testing: Incorrect or missing information can cause significant delays in the diagnosis process.
- Billing Complications: Errors may lead to complications with insurance approval and reimbursements.
- Legal Issues: Incomplete consent may pose legal challenges for the medical practitioner.
How do I know when to use this form?
- 1. Genetic Testing Requests: Required for all requests for genetic testing to ensure compliance and completeness.
- 2. Insurance Billing: Necessary for submitting accurate claims to insurance companies.
- 3. Specimen Collection: Essential for proper collection and submission of biological specimens.
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