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REFERENCE NUMBER: {{ReferenceNumber}} ADMISSION NUMBER: {{ReferenceId}}

Admission Notification

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Important Update: Observation Authorizations Change
 HealthSun has made an important change regarding observation periods. Effective immediately, authorizations are no longer required for observation stays up to 72 hours.
This change does not affect the discharge planning process, continue to submit discharge orders for processing. Please note inpatient admissions continue to require
authorizations. Thank you for your cooperation and understanding. If you have any questions or need further assistance, please contact Medical Management at (877) 207-4900.

NPI Number

HealthSun is contracted with QMC (Miami Dade) and H2 (Broward & Palm Beach) hospitalist groups. Admission must be assigned to one of these hospitalist.

Patient First Name

Required 2-50 letters and - only

Patient MI

0-1 Letter

Patient Last Name

Required 2-100 letters and - only

DOB

Required Invalid date!

Member Number

Admission status

Hospital Name

Hospital Phone

New Hospital Name

New Hospital Phone

Caller First Name

Required 2-50 letters and - only

Caller last Name

Required 2-50 letters and - only

TIN

Call back phone

Admission date

Required Invalid date!

Admission Time

Required
Admission time cannot be set in the future

Admitting Physician First Name

Required 2-50 letters and - only

Admitting Physician Last Name

Required 2-50 letters and - only

ICD10 Codes

Required 2-50 letters and - only Code: {{ $select.selected.NumberCode }}
  • {{icd9Item.NumberCode}} {{icd9Item.Description}}