Prime West Health System - Neighbor carying for Neighbor

Discover PWHS

• Introduction
• Provider Updates
• Resources
  • Administrative Manual
  • Credentialing Information
  • Service Authorization Forms
  • Presentations
  • Pharmacy
  • Standards of Care & Clinical Guidelines
  • Forms, Letters, and Miscellaneous Documents
  • Group Numbers
  • Medical Necessity Criteria
  • Pertinent PrimeWest Policies
• Events
• Helpful Links
• C&TC corner
• Health Promotion Programs
• Grant Opportunities
• Disease Management
• Expansion Information

SNBC

SNBC Change of Status Form

SNBC Contact Reference Sheet

SNBC Skilled Nursing Facility (SNF) Notification Form

SNBC PCP Letter (PDF)

SNBC Care Plan (H2926 PW 2008 3036 - interactive form)

SNBC Initial Communication / Renewal Form
     (H2926 PW 2008 3078 - interactive form)

SNBC Coverage Guidelines for Porcelain Crowns and Bridges
     (H2926 PW 2008 3076)