Documentation needed to transition a patient to Synapse Health

The member data, rental and resupply details, and clinical records Synapse Health requests when a patient moves onto the network.

The following information and documentation is required to successfully transition the patient to Synapse Health and maintain continuity of care. Gather all of it before the transition date so the patient’s rentals and recurring supplies are not interrupted.

The lists below are grouped the way Synapse Health requests them: member demographics and coverage, the ordering provider’s contact details, rental month detail for equipment currently on rent, resupply detail for recurring products, and additional clinical documentation.

Member data requested to support the transition

• Member name
• Member date of birth
• Member delivery address
• Member phone number
• Member gender
• Member secondary insurance (as applicable)
• Member alternate phone number
• Email address on file
• Member plan name
• Member group ID
• Member prior authorization on file and expiration date
• Member DX code on file
• Members with equipment rental in last 3 months
• HCPCS for items on rent, accessories/components and/or supplies
• Product description including manufacturer, style and SKU if available

Ordering provider contact information

• Name
• Address
• Phone number
• Fax number
• NPI

Rental month detail for each item currently on rent

• Member prior authorization on file and expiration date for each product on rent
• Member DX code on file associated with each item on rent: member’s RX/CMN on file for items on rent
• Members with any recurring supply item in the last 6 billing months: HCPCS for each supply item provided in LTM
• Product description for each supply item including manufacturer, style, size, model and SKU

Resupply detail for recurring supply products

• Member prior authorization on file & expiration date for recurring supply of products
• Member DX code on file associated with each recurring supply product
• Member’s RX/CMN on file for recurring supply items in LTM

Additional clinical documentation requested