24/7 EXPERT CARE  

When calling to make a referral, you will need to provide us with the following information:-

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PART1: DEMOGRAPHIC INFORMATION AND PATIENT HISTORY

• Patient Demographic Information: Name, Address, Phone Number and Date of Birth 

• Social Security Number of Patient

• Provisional Diagnosis

• Mental Status of Patient

• Management Concerns

• Recent Hospitalizations: Name, Facility and Date of Service

• Medications

• Alcohol/Substance Abuse History

• Current Living Situation

• Medical Problems

 

PART2: INSURANCE INFORMATION

BHC is an Article 31 Facility. We accept patients under 21 and over 65.

• MEDICARE: We accept all Medicare Patients. 

• MEDICAID: We accept Medicaid for patients under 21 and over 65. Managed Medicaid is accepted for all ages. We will need the following information:-

  • Medicaid Care Number, Access Number, Sequence Number​

• COMMERCIAL INSURANCE: We will need the following information:

  • Name of the Insured Person​

  • Social Security Number and Date of Birth

  • Name of Employer

  • Name of Insurance Carrier

  • Identification Number on the Insurance card

  • The number to call for the verification of benefits

 

PART3: CUSTODY INFORMATION

Patients under the age of 17 years, must be signed into the hospital by a parent or a court designated legal guardian. Proof of custody/guardianship is required to be presented at the time of admission.

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