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Streamline the Referral Process

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To ensure your patient is scheduled quickly and their insurance benefits are maximized, please include the following with your referral:

1

The Essentials

1. Patient Demographics (referral form and insurance cards)

 

2. Recent Sleep Study (PSG or HSAT - must be within 1 year)

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*3. Recent Panoramic X-ray (if applicable - must be within 3 years)

 

4. Formal Order/Prescription signed by the physician

 

5. Physician SOAP Notes: Must document CPAP intolerance (claustrophobia, non-compliance, etc.) or a formal request for alternative therapy to facilitate claim approval.

2

Fax

Please send all supporting documents to our HIPAA-compliant fax number at 866-931-5290 as the next step in the process.

3

Patient Contact

Upon receipt of the referral, our team will contact the patient to conduct a preliminary assessment of their requirements and schedule their consultation with our clinical team.

Provider Resources

At Tranquil Sleep Solution, we deeply value the collaborative care of our patients. We look forward to partnering with providers to ensure the highest quality of care and support for those we serve. Together, we can make a significant impact on patient outcomes and well-being.

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