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Home Health Advance Beneficiary Notice Mobile App

The Home Health Advance Beneficiary Notice Mobile App provides an easy to use platform where you can provide notices of updates to the plan of care for patients and their Medicare beneficiary. When it comes to patient care and patient rights, you want to provide as much advanced notice as possible. With this app, available on any smartphone, mobile device or PC, updating the Medicare beneficiary is easier than ever. If you are an physician, aide or other health care professional who works with Medicare patients, then this app is the best and easiest way to update the Medicare benefit policy.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Home Health Advance Beneficiary Notice Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date

  • Ico textbox

    Patient's Name

  • Ico textbox

    Medicare # (HICN)

  • Ico multiline

    We, the (enter name of) agency, are letting you know that we will no longer provide you with the ...

  • Ico signature

    Patient Signature

  • Ico statictext

    By signing below, I understand that I recieved this notice because this agency decided to stop pr...

  • Ico date

    Date

  • Ico signature

    Patient Signature

  • ...and More!

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