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1. Path Attachment Upload Comments Add New Next Prev Validate Park Submit MedTech 32 Konnect Net Ltd Internal Testing Environment File Edit Patient Module Report Tools Utilities Setup ManageMyHeall SMITH Arniee 3263 2 14 Dundonald Street Newton 234 5678 987 5674 A2BRPASeH iS New SureMed Information Request Konnect Web More Audit SureMed Patient Medical History Family History Social History P patient P Personal Details P Contact Information EHP Medical History P Recent Classifications Instructions The PMAR retrieves all medical information from the syst Confirm tab Ref 141860b Patient Details P Long Term Classifications Preferred Name First Name Second Name Previous Family Name P Screening Terms P Family History P Social History P Medication P Confirm P Practice Details P Attachments P Consultation Notes P Diagnostic Reports Surname Date of Birth Gender NHI GP Information Are you the client s main practitioner _Next Prev Validate Park Submit Complete Blood Count Confirm ee pre Auckland Radiology Test Qha e v B ilez konnectN T Konnect SureMed Request Konnect NET PMAR Patient Personal Details Haemoglobin 140 g l 130 175 Print Lox Cancel Help Teles Sign Comment 12345 Arnold Smith
2. Cancel Help If you see yellow this indicates a discrepancy between the Patient Details whom the insurers have requested data on and the Active Patient the patients details recorded at the practice 7 2 Medical History This tab enquires about the Patient s medical history with your Practice Important Please note all fields denoted by a red asterisk are mandatory fields New SureMed Information Request Konnect fo E PES Web More Audit SureMed o konnect G ica history Family History Social History Medication Attachments Confirm Recent Classifications Include 5 Date Classification Long Term All iv Notes C Long Term Classifications Notes Include Date Classification Long Term All Iv Phobic anxiety q 13 04 2010 De E v v 24 11 2007 long term asthma Iv Additional Classifications Date Classification Q Add New Include Date ACC Number All T Please give details of anything else potentially relevant Next Prev Validate Park Submit rr Call us today d 0800 KONNECT Print Cancel Help em Loe cea MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 7 SureMed You can read the entire comment by simply moving your mouse pointer over the comment and simply click on the note pad image to edit any of the data Web More Audit SureMed PMAR lt konnect Medical History i listo
3. Eddy InsurerAcc 07 03 2013 01 02 1943 Male Contact Information Customer Supplied Data Address 14 Dundonald Street Eden Terrace Auckland 1021 Day Phone Home Phone Cell Phone Email Address GP Information Are you the client s main practitioner MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 11 SureMed 7 8 Confirm Tab The confirm tab includes final summary questions payment details and GP details Web More Audit SureMed PMAR o konnect Flite Mella aaa cle A lel Bal ocle MMe tlie laccleiieiiem Confirm Other Factors Are there any comments you would like to add to this response ar Tes Does the electronic record cover the last 5 years yes Payment Details PMAR 75 00 Payment amount depends on information Request type Total 75 00 GST Exclusive Deselect below for manual invoicing vy Standard payment terms On submission of this form a confirmation email will be sent to your practice nominated address and payment for the total above will automatically be made to your nominated account by Konnect Net Limited GP Details Name Dr Sam Entwistle Specialty General Practitioner titi Cs S Practice Name Millstone Family Practice ssts S Street 17 York Street Suburb Pamet Next Prev Validate Park Submit ear ea Q secr Print oa Cancel Help Important Konnect
4. Diagnostic Reports and other correspondence to be submitted with this report Date Title 29 05 2009 Complete Blood Count Haemoglobin 140 g l 130 175 Packed cell volume 0 41 I I 0 38 0 52 Other Documents Mean cell volume 84 fl 80 Select the Other Documents to be submitted with this report Date Title 29 05 2009 Molemap results 29 05 2009 Auckland Radiology Test Attachments Comment Automated cell counts are normal Add New _Next Prev Validate Park Submit Call us today 0800 KONNECT Print x Cancel Help Once again the form will automatically populate with all the attachments relevant to the Patient s history You can Include what is applicable To read the complete description simply roll your mouse pointer over the field you wish to read This will display the complete description MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 10 SureMed If you wish to add files that have not automatically populated e Tick on the Add New button under Attachments e Browse for your file on your hard disk and click OK 7 7 Preview Report You can preview the report as a PDF prior to submitting the report SUDEEER web More Aud SureMed t Medical History Family Mielec Attachments 29 05 2009 Other Documents Select the Other Documents to be submitted with this report Date Title Attachments Remove Filename Attachment Date
5. Konnect NET Inactive File Next Previous Print OK Cancel Help MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 4 SureMed To view the patient s authority click on the highlighted View next to Client Authority Main Audit External Detail Name Smith Arnold 01 Feb 1943 Reference No prepcthe 43861e16 e5 konnectt Internal Details Patient SMITH Amiee 3263 i Confidential l Subject Suremed Enl Proar Request 1 Date 7 Mar 2013 Attention Bary Beta BETA Comment From z Provider Barny Beta BETA Classification Status Folder SureMed Docs SMA Client Authority PDI Attachment 2 Open Electronic Form FORM View Attachment Insurer paper request PDF View Attachment Detailed Instructions HTML View Attachment 4 Decline to respond HTML View Do not use attachments below Inactive I File Next Previous OF Cancel Help If the patient is not matched please locate them in your Medtech database by clicking FIND Main Audit External Detail l Name Smith Arnold 01 Feb 1943 Reference No prspcthc 43861e16 e5 konnectt AOON Internal Detail Patient PATIENT NOT MATCHED Find Confidential Subject Suremed Knl Pmar Reqs Date 7 Mar 2013 Attention Barry Beta BETA 7 Comment From Provider Barry Beta BETA Classification Statu
6. Medical Request Form Should you choose to decline completing the Request Form if for example the Patient does not belong to your practice or if you do not hold any medical information on the Patient click on the highlighted View link which is next to the Decline to respond text Main Audit External Detail Name Smith Arnold 01 Feb 1943 Reference No prspethc 43861e16 e5 konnectt Internal Detail Patient SMITH Arniee 3263 Confidential Subject Suremed Knl Pmar Request 1 Date 7 Mar 2013 Attention Bary Beta BETA Comment From w Provider Bary Beta BETA Classification Status Folder SureM ed Docs SMR Attachment 1 Client Authority PDF View Attachment 2 Open Electronic Form FORM View Attachment 3 Insurer paper request PDF View Attachment 4 Detailed Instructions HTML View Attachment 5 Decline to respond H i view Y m Do not use the attachments below Inactive File Next Previous Print ox Cancel Help MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 14 SureMed This will display a screen where you can enter a Decline reason which will be communicated to the Insurer In case the page fails to display please call 0800 KONNECT 0800 566 632 and ask to decline request 141860b SureMed poweReD ey KonnectN Ref 141860b Patient Name Mr Arnold Smith Address 14 Dundon
7. S IH e Date Subjective Notes Objective Notes Al V A aD le aa lt I lt l email received requesting results advised all normal On examination chest exp insp 94 exp 87 CVS normal rash hands several months v patient has a persisting area of parasthesia to medial left On examination pt indicates small several cm diameter of On examination pt indicates small several cm diameter of altered preception light touch intact jno adenopathy chest lear impression localised parastesia to left torso cause plan advice for review by neurologist Screening Terms Blood Pressure Date Notes a ee o z C OW systolic o0 piastoice 11 outcome _ a C W systolic B4 piastolic B4 outcome _ m ee E F vie Ea o z isd se E ene E ee a Height Include _Next Prev Validate Park Submit Preview D soo konnecr Print ox Cancel Help New SureMed Information Request Konnect fo eS i Web More Audit o konnect de Systolic Diastolic 80 outcome _ 3 Systolic 10 Diastolic 11 outcome Li Vv Systolic 34 Diastolic 34 Joutcome L v C v Outcome iv Height clude Date Notes All iv a z Weight z Save Cancel clude Date Notes EE Rewry All iv ny F Cholesterol nclude Date Notes All V X Next Prev Validate Park Submit 0800 KONNECT m Print ox Cancel Help As this form
8. for whom the insurer is seeking information Important Please pay special attention to any Insurer comments File Edit Patient Module Report Tools Utilities Setup ManageMyHealth ConnectedCare CAT Window Help Pb epee ESE Sep ee Pape he ap lt p es SMITH Arniee 3263 2 A3 R ABC1235 Bs SFE A 14 Dundonald Street Newton 234 5678 987 5674 01 Feb 1943 70 yrs Male 20 0 00 RP SureMed Inforr jor Web More Audit SureMed Wkonnect Patient Medical History Family History Social History Medication Attachments Confirm Instructions Please provide all relevant consult notes test results and specialist letters within the requested history History Period period The PMAR retrieves all medical information from the system and enables you to exclude items that are not relevant Please add any missing relevant information in the Other facts section of the Confirm tab Ref 141860b Patient Details Contact Information Patient Details Active Patient Contact Information Active Patient Preferred Name JARNIEE Street Address First Name Newton o Second Name i Auckland o Previous Family Name 1024 Surname i SMITH _ OOOO O Day Phone Number Date of Birth 1943 02 01 Home Number Gender MMF cell Phone Number a NHI ABC1235 Email Address GP Information Are you the client s main practitioner aa Next Prev Validate Park Submit efresh Preview O gisita eer Ll Print o
9. 0 3 SureMed 6 Opening a SureMed Information Request Form ce ee ames File Edit Patient Module Report Tools Utilities Setup ManageMyHealth ConnectedCare CAT Window Help TT PT rt Patient Register F3 Recall S s gt i Attachments Manager When an insurer sends you a request the message will show up in your Provider Inbox as a SureMed Information Request in your SureMed Docs SMR folder To view the Message simply double click the applicable row This will open up a SureMed message with the request and where the patient is not required to be present the patient s authority to release their medical information Main Audit External Detail Name Smith Arnold 01 Feb 1943 Reference No prspcthc 43861e16 e5 konnectt Internal Detail Patient SMITH Arniee 3263 4l Confidential I Subject Suremed Knl Pmar Request 1 Date 7 Mar 2013 Attention Barry Beta BETA X Comment From Provider Bary Beta BETA 7 Classification Status 7 Folder SureMed Docs SMR Arnold SMITH Arnie SMITH Dob 01 Feb 1943 Male ST 141860b SureMed KNL PMAR Request 141860b Date 07 Mar 2013 11 47 Providers ID prspcethe 43861lel6 e53b 4017 b6lc Referring Konnect Net Limited 0026c941ef21 konnectt Referred to Aileen Smith MC 17294 This request for Medical Information is in support of your patient s request for some form of Life or Income protection Insurance with
10. NET pays GP s weekly for SureMed requests completed in line with guide prices which vary according to the information requested Where additional expense has been incurred Konnect NET can be manually invoiced by unticking the check box under Payment details Web More Audit SureMed PMAR T konnect T Patient Medical History Family History Social History Medication Attachments Confirm Does the electronic record cover the last 5 years Yes C No Payment Details PMAR 75 00 Total 75 00 GST Exclusive Deselect below for manual invoicing E By unclicking the check box you agree to manually invoice Konnect Net Limited for your time completing and submitting the form m Please quote the reference number 133946a the patient name Arnine Smith and D O B 21 10 1981 on your invoice Our physical address is Konnect Net Limited P O Box 8933 Symond St Auckland 1023 Alternativly fax to 64 9 309 6902 GP Details Next Prev Validate Park Submit General Practitioner a Preview 6 Call us today d 0800 KONNECT Print ox Cancel Help 8 The Navigation Buttons Next Prev Walidate Park submit Refresh Preview Next takes you to the next screen Prev takes you to the previous screen Validate checks if all mandatory fields have been completed Incomplete fields show up in red Park Saves a partially completed form to MedTe
11. SureMed Fh PT i Hn User Guide Completing and Submitting SureMed Information Requests to an Insurer via Konnect NET konnectN T Prepared By Konnect Net Limited March 2013 MedTech 32 Sending Konnec t NET SureMed Forms Electronically v1 0 SureMed Table of Contents 1 IATFOGUCTION ierra E 3 2 Wh should se this guide eersrrcsnecrcenian 3 3 Where toget INCU coset soso oer eee eerie eee nnee eorerae ena niaenses 3 4 Before you DEGIN 2 c 2 csc0icoctieatieceaaitueetientiactaantieetientiacsaanteeetientiese 3 5 Types of SureMed Medical FOrMs ccccceeccccsceeseeenneeeeeeeeeeeeeaaas 3 6 Opening a SureMed Medical Request FOrmM cccccceeeeeeeeeeeeeeeeeeeees 4 7 Completing a SureMed Medical Request FOrm ccsseeeeeeeeeeeeeeeeees 7 Fed Panen TaD roerei EE E EA Z 72 Medical History TAD ergoruirgeon aea a E 7 Zaa Fam A tOry TaD iee EE 9 7 A Social AISLONY TaD iene e er A E ianeatneriaadanets 9 Fea MECON TAD e E E 10 7 0 Attachments TaD siiiacsccrrcaiansierientscanioadiianieeieeettcadunatienteaabiens 10 Ped PYOVIEW REDOM ce seve sic ceneusniesets ore ecie sete E sient eerae eee 11 7s OC OMG la Deuiss brane hesgiee couneien E hema peoeeiee peuneiaa bien 12 The Navigation BUCOM c sccsestiocesentesetsentionaantesetientiontaanteaetientiens 12 Submitting the SureMed Request FOr s sssssssrsssnrsrerrrrrrrsrerrsrrrrne 13 10 Retrieving a Parked SureMed Request FOrm s ssssosssrennsrrnrrrrnrsrrnrerne 14 11 Decli
12. achan John 27 12 2012 Open
13. ald Street Eden s 3 Terrace Auckland 1021 Patient Gender Male Patient DOB 01 02 1943 Insurer Konnect NET Service Level Standard Declined By Aileen Lavson Smith Decline Reason Information is unavailable x Cancel Decline 12 Alternative method to open the SureMed request Go to the Module menu and select New Form under Advanced Forms shortcut Shift F3 From the list select the Konnect Folder then SureMed Information Request and click OK ie New Patient Form M Select the form type to create for this patient p Common Forms iB Healthlink Online i Accident Compensation Corp Auckland District Health Board H D MedTech a SureMed Information Request H Manag Cancel Click OPEN next to the patient s details for the Request you are responding to This will open the SureMed Form that has been automatically pre populated with the patient s medical history from your PMS database SureMed Information Request o konnect Instructions Below you will see a list of SureMed Requests Please select the patient and related Request from the list below and open the message Where possible information will be retrieved from the Practice Management System automatically and presented for you to browse and include in your response Surname First Name Date of Birth Requestor Form Type Ref Provider Due Date SarahFirstNam4 01 01 1970 OnePath Life Dalziel Denise 12 12 2012 T 17 10 1983 133848a Carm
14. automatically populates information from your Medtech database comments if any will also show To add a comment or edit an existing one simply click on the icon next to the comment field This will bring up a text field for you to enter your comments Press Save after you have finished Important To Exclude information please untick the boxes on the right hand side MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 8 SureMed 7 3 Family History Tab Eie Edit Patient Module Report Tools Utilities Setup ManageMyHealth ConnectedCare CAT Window Help 0 ES SS Gs Gs Re SD ed DH ON SMITH Arniee 3263 2 A3 R ABC1235 Bs SFE A 14 Dundonald Street Newton 234 5678 987 5674 01 Feb 1943 70 yrs Male 20 0 00 RP SureMed Zee ie aloe Family History Berio A Condition Description General History Comments Mother smoked until age 60 Call us today 0800 KONNECT Print Lox J Cancel Help _Next Prev Validate Park Submit IKNLNZLAP20 SFE Last Login 20 Feb 2013 05 57 PM Main Database M 7 4 Social History Tab New SureMed Information Request Konnect wee Web More Audit SureMed o konnect Patient Medical History Family Histo Is the Patient a past or present smoker Cc aber Current Smoker Quantity Comment C Unknown Is there any indication of past or present abuse of alcohol A Is there any indication of past or
15. ch Submit Preview checks that the form is valid and submits the form previews the form as a PDF MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 12 SureMed 9 Submitting the SureMed Medical Request Form Once you have entered all the details on the SureMed Request you are ready to submit it to Konnect To complete the process Click on the Validate button e Tabs which have unanswered questions or which have not been correctly completed will turn Red e Answer the questions or amend the errors and click on Validate again e If there are no errors the system will notify you that the form is valid e Click OK to accept it SureMed Asthma and Respiratory lt o konnect Please complete all compulsory fields check the highlighted tabs for more details Patient Questionnaires Attachments Confirm Other Factors Are there any comments you would like to add to this response Required Does the electronic record cover the last 9 years Required Click on the Submit button e The system will close the SureMed Request Form and display a PDF Report of the Request e The Report will then be encrypted and sent via HealthLink to Konnect NET s secure database only the Insurers designated team will have access to this information e A copy of the Report will be stored in your Medtech database against the Patient s record It can be accessed from the Patients OutBox or Daily Record in the Patient Ma
16. help For Medical Providers Contact MedTech support line on 09 358 0116 for technical queries with the form Contact HealthLink on 0800 288 887 for any queries with HealthLink connections or acknowledgement messages Contact the Konnect NET Team on 0800 KONNECT 0800 566 632 for any queries related to SureMed 4 Before you begin Ensure the following You are using MedTech 32 V20 or above To confirm that start MedTech 32 Click on Help About MedTech 32 You have a HealthLink connection The patient details for the patient for whom the SureMed Form is being created are loaded in the system and are complete 5 Types of SureMed Medical Forms The SureMed request may combine one or more of the following elements SureMed PMAR Request Patient Medical Attendant s Record typically requested if your patient is over a set age or if they are seeking insurance over a certain dollar amount age and amount thresholds are set by the insurers SureMed Questionnaire requested where the patient has identified that they have a pre existing condition eg Diabetes Asthma Epilepsy etc SureMed Exam Own Doctor typically requested where the patient has not been seen by their doctor for a period of time is over a set age or are seeking Insurance over a certain dollar amount SureMed Build Exam BMP amp BP a short build examination that can be completed by nursing staff MedTech 32 Sending Konnect NET SureMed Forms Electronically v1
17. nager Shortcut F6 SL PMAR Arnold Smith 12345 Adobe Read beaa File Edit View Window Help x Ie RRBEmIO 8 Ahs B P le Tools Sign Comment 2 Policy No 12345 konnectN T aiem meas fE i Authorised By Eddy InsurerAcc HP Patient Generated 07 03 2013 P Personal Details P Contact ae Konnect SureMed Request P Recent MT PMS Classifications P Long Term Patient Classificati p giii f ne Personal Details pP Screening Terms PMS Supplied Data Customer Supplied Data Family History Name BRIAN SMITH ARNOLD SMITH LP Social History Preferred Name ARNIEE ARNIE P Medication Date of Birth 01 02 1943 01 02 1943 EHP Confirm Gender Male Male P Practice Details pan Number E WP Attachments Contact Information Uf Consultation Notes Customer Supplied Data 14 Dundonald Street Eden Terrace Auckland 1021 Home Phone Email Address P Diagnostic Reports P Other Documents GP Information MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 13 SureMed 10 Retrieving a Parked SureMed Request Form A parked SureMed Request Form can be retrieved by selecting Parked from the Module menu under Advanced Forms File Edit Patient Module Report Tools Utilities Setup ManageMyHealth ConnectedCare CAT Window Help BENI onw SMITH Art papye i A3 R ABC1235 es 20 14 Dundonald S A AA 01 Feb 1943 70 yrs Male 0 00 Date Patient Ft 11 Declining a SureMed
18. ning a SureMed Medical Request FOrm sssssssssssssssrssrssrenrrsresrns 14 12 Alternative method to open the SureMed Request sseeeeeee eens 15 MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 SureMed 1 Introduction About Konnect NET SureMed SureMed enables rapid and secure collection of medical information required for reviewing an insurance application Konnect NET has commissioned MedTech to develop new e forms to support and improve the review and submission of Medical Information to Insurers Objectives for developing the SureMed Information Request Form An efficient streamlined and standardised process for fulfilling information requests enables GP s to rapidly review and select medical information to be provided to Insurers frees up time for patient care ultimately leads to a faster turnaround time on insurance policy applications made by clients Better patient outcomes patients get the insurance they need to cover their risks transparency of information and the process of retrieving information Confidential and secure information transfer Privacy protection of personal medical information that meets industry and legal requirements Automatic payment for processing information requests once completed 2 Who should use this guide This user guide is intended for General Practitioners and practice staff who will be responding to Konnect NET SureMed Requests 3 Where to get
19. present misuse of drugs E S Next Prev Validate Park Submit Refresh C 800 koNnecr Print ox Cancel Help Please note you will be asked to comment on any mandatory questions that you have ticked Yes to MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 9 SureMed 7 5 Medications Tab If the patient is currently on any long term medication the question will default to Yes and a list of current long term medications will be displayed You can choose to Include necessary information or untick the box if it is not applicable to the Request SureMed Information Rea Web More Audit SureMed Patient Medical History Family History lerimsioeaa Medication Balice eea meets Recent Prescriptions Date Nature of Medication Instructions 14 03 2013 Amoxycillin 250mg Cap 2 caps Once Daily 14 03 2013 Panadol 500mg Soluble Tab 2 tabs Every Four Hours Medication Long Term Medication Q Date Nature of Medication Instructions 07 11 2011 Locoid 0 1 Lipocream 100g g Four Times Daily 10 05 2010 Ubistesin Forte Forte vials Once Daily 10 05 2010 Symbicort 100 6 Turbuhaler 2 As Required Add New _Next Prev Validate Park Submit Call us today 0800 KONNECT Print Lox Cancel Help 7 6 Attachments New SureMed Information Request Konnect Web More Audit SureMed T konnect Diagnostic Reports Include Select the
20. s Folder SureMed Docs SMR Arnold SMITH Arnie SMITH Dob 01 Feb 1943 Male ST 141860b SureMed KNL PMAR Request 141860b Date 07 Mar 2013 11 47 Providers ID prspcthe 43861el e53b 4017 b6lc Referring Konnect Net Limited 0026c941ef21 konnectt Referred to Aileen Smith MC 17294 This request for Medical Information is in support of your patient s request for some form of Life or Income protection Insurance with Konnect NET Inactive File Next Previous Print ox Cancel Help MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 SureMed When you have matched the patient with the request click the arrow to make the patient the Active Patient Main Audit External Detail Name Smith Arnold 01 Feb 194 Reference No prspcthc 43861e16 e5 konnectt Internal Details Patient SMITH Amiee 3263 Confidential Subject Suremed Knl Pmar Fagg Date 7 Mar 2013 Attention Bary Beta BETA 7 Comment From Provider Bary Beta BETA 7 Classification Status x Folder SureMed Docs SMA Arnold SMITH Arnie SMITH Dob 01 Feb 1943 Male ST 141860b SureMed KNL PMAR Request 141860b Date 07 Mar 2013 11 47 Providers ID prspcethe 43861el6 e53b 4017 b61c Referring Konnect Net Limited 0026 c941ef21 konnectt Referred to Aileen Smith MC 17294 This request for Medical Information is in support of your patient s reques
21. t for some form of Life or Income protection Insurance with Konnect NET Inactive File Next Previous Print ox Cancel Help To open the SureMed request click on the highlighted View next to Open Electronic Form Main Audit p Details Name Smith Arnold 01 Feb 1943 Reference No prspcethe 43861e16 e5 konnectt Internal Detail Patient SMITH Amiee 3263 Find 4l Confidential 7 Subject Suremed Kril Pmar Request Date 7 Mar 2013 Attention Barny Beta BETA Comment Pg From fs Provider BanyBeta BETA Classification i Status fo Folder SureMed Docs SMR 4 4 Attachment 1 Client Authority PDF View Attachment 2 Open Electronic Form FOR view _ Attachment 3 Insurer paper request PDF View Attachment 4 Detailed Instructions HTML View m Attachment 5 Decline to respond HTML View Do not use the attachments below Inactive File Next Previous Print ox Cancel Help This will open up the Konnect SureMed Information Request MedTech 32 Sending Konnect NET SureMed Forms Electronically v1 0 SureMed 7 Completing a SureMed Medical Request Form 7 1 Patient Tab The patient tab provides you with a comparison of patient information that you hold in your system against information provided by the insurer This will enable you to confirm that the patient record relates to the person
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