Submit a Transfer of Care Referral as a Claims Administrator
1. Navigate to Transfer of Care
- Click on My Admin Settings
- Click on Transfer of Care
2. Complete the Transfer of Care Form
Fields with a red asterisk (*) are required fields
- Select the type of Transfer of Care (New Request or Resubmission)
- Enter in the Employee Information
3. Enter in the Requesting Physician Information. If no request by physician, please leave blank.
4. Enter in Requested Treatment. If no requested treatment is known, please leave this blank
5. Enter in Claims Administrator/Utilization Review Organization (URO) Response.
6. Click on CREATE
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