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Get Tufts Health Plan Hospital Discharge Summary Form Instructions 2268787 2019-2024

N I. Record member s name and Tufts Medicare Preferred HMO member ID#. Record care manager/externally managed care manager s name, phone # and fax #. Record member s PCP name and their Medical Group/IPA #. Record the names of discharging facility, and attending physician. Section II. Record the planned date of discharge. Section III. Verify that all elements listed in this section are documented in the member s record. The member s record must support the dec.

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