Support

Welcome to the Full Range Health Services Support Portal!  

The goal of this page is to provide one location that houses all of the resources for a successful Support Team!  If you think something should be added, just let us know!

Clinic supplies needed? Check out our newest Submission Form!

Clinic Supply Request Submission

Weekly Hour Submission

Payroll - Hour Submission Form

Process Online Payments

GENERAL SUPPORT RESOURCES

Daily Resources - Platforms

Email

Sharefile

sfax (Fax Portal)

Parachute - DME Ordering

Insurance Verification Platforms

Availity -Misc. Insurances

AshLink -Cigna

IEXCHANGE -IBC Administrators

PEAR Portal - IBC/Personal Choice and BCBS

  • BCBS Plans- (P) 800.676.2583

Novitasphere -Medicare

Optum - United Health Care

Sunrise Advantage Plan

 

ARCHIVED

Training Material

sFax Training Videos

Insurance Navigation Training - Intro to Insurance and Collections

RHH-F2F Info

Medicare Educational Events

ACHC Educational Resources

Veterans Affairs

 

 

OUTPATIENT CLINICS

-SUPPORT MATERIAL-

Front Desk Resources

HIPAA (Auth to Disclose HI) Form 

HIPAA (Shadowing) Form (pdf)

FRHS Credit Card Processing Form (Generic)

Night Attendance and Billing Log

New Patient Forms

-e-versions-

Consent Form and Cancellation Policy - (Insurance)

Medical History Form

Consent Form - Private Pay

 

-PDFs Copies-

Welcome Packet

Consent Form and Cancellation Policy - (Insurance)

Consent Form - Private Pay

Outpatient Intake Form- 2 pages

Work Comp Intake Add

 

DH Clinic Graduation Packet

WC Clinic Graduation Packet

InHome - Graduation Packet

 

Misc Insurance Forms

Patient Profile Insurance Verification Cover Sheet

Capital Blue Auth (Editable) GEHA Authorization Form

Sunrise Advantage Plan Auth Form

VACCN - Referral Process Guide

Guide - D.A. License by State (APTA)

 

 

Insurance Verification Workflows

Insurance Verification (Support)

-Complimentary Screens-

Lower Extremity

Upper Extremity

Berg Balance Test

DASH Questionnaire

Dizziness Handicap Inventory

Dynamic Gait Index

Dynamic Gait Index

Hip Outcome Score HOS

Knee Injury and Osteoarthritis Outcome Score KOOS

Knee Outcome Survey With SAS

Knee Outcome Survey Without SAS

Lower Extremity Function Scale (LEFS)

Lymphoedema Functioning Questionnaire

Neck Disability Index (NDI)

OPTIMAL Form (APTA)

Oswestry (modified) Low Back Pain

Parkinsons Disease Questionnaire

Patient Rated Wrist Evaluation PRWE

Penn Shoulder Score

Upper Extremity Functional Scale (UEFS)

-SUPPORT RESOURCES-

Commonly Used Platforms

Email

HomecareHomebase

Sharefile

sfax (Fax Portal)

Payeezy (Payment Processing)

Parachute - DME Ordering

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