We want to make this transition to Certigen as seamless as possible. The following information must be obtained from your office for each patient to assure expedient and efficient processing. Compliance requires the requisitions be filled out completely, including a physician’s signature (may use signature stamp), patient’s signature and date. In order to meet billing requirements; the items listed below must accompany every patient requisition:

• Copy of patient demographics.
• Copy of the insurance card front and back. (or all info on front and back of card written or typed on separate sheet) Please make sure card copies are on one side of the page only.
• Copy of initial screening results. These can be printed out from your machine, a form filled out, simply checked off or written on our requisition forms. We can provide screening on all patients if you are not equipped to do so in your practice, just make a note in the NOTES section of the requisition that screening is needed.

We can send results through fax or secure email, just let us know where to send them and to whom. We are here to help, so please do not hesitate to call, text or email any questions or concerns. You will use our UPS account #W06706 and address for any costs.

Thank you. We look forward to serving you and your patients!