Provider Forms and Documents
所有最新的表格,手冊和指南均可隨時在翡翠東華醫師協會醫療機構平台下載。
All the Jade Provider forms and documents can also be found below:
Provider Manual:
Jade Provider Quick Reference Guide (PDF)
San Francisco Health Plan (SFHP) Summary of Key Information (PDF)
San Francisco Health Plan (SFHP) Attestation Form (PDF)
Jade Administrative Forms:
Authorization for Email Communication (PDF)
Direct Deposit (PDF)
Provider Information Change Form (PDF)
Compliance Training Forms:
2019 Jade Annual Compliance Training (PDF)
2019 Jade Provider Attestation Form (PDF)
San Francisco Health Plan (SFHP) Summary of Key Information (PDF)
San Francisco Health Plan (SFHP) Attestation Form (PDF)
Prior Authorization Forms:
Prescription Drug Authorization Form (PDF)
Medication Request Form (PDF)
Consultation Referral Form (PDF)
Service Authorization Form (PDF)
ICD-10 Forms:
ICD-10 User Guide (PDF)
Common ICD-10 Chronic Conditions (PDF)
CPT Coding Information:
Preventative Care Services Guidelines (PDF)