Form HCA13-840 Patient Review and Coordination Referral Form - Washington

What Is Form HCA13-840?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the HCA13-840 Patient Review and Coordination Referral Form?
A: The HCA13-840 form is a patient review and coordination referral form used in Washington.

Q: Who uses the HCA13-840 form?
A: Healthcare providers in Washington use the HCA13-840 form.

Q: What is the purpose of the HCA13-840 form?
A: The purpose of the form is to facilitate patient reviews and coordinate referrals for healthcare services.

Q: How can I obtain a copy of the HCA13-840 form?
A: You can obtain a copy of the HCA13-840 form from healthcare providers or the Washington State Health Care Authority.

Q: What information is required on the HCA13-840 form?
A: The form requires information about the patient, referring provider, diagnosis, and other relevant details.

Q: Is the HCA13-840 form mandatory?
A: Yes, healthcare providers in Washington are required to use the HCA13-840 form for patient reviews and coordination referrals.

Q: Are there any fees associated with the HCA13-840 form?
A: No, there are no fees associated with the HCA13-840 form.

Q: Can I submit the HCA13-840 form by mail?
A: Yes, you can submit the HCA13-840 form by mail to the address provided on the form.

Q: What should I do if I have questions about the HCA13-840 form?
A: If you have questions about the HCA13-840 form, you can contact the Washington State Health Care Authority for assistance.