Front Office/Referral Department Staff Quicklinks

• Patient Sign-In App (for iPad 1/31/2024 - All Locations)

  • Morristown Sign-in Sheet

  • Bean Station Sign-In Sheet

  • New Tazewell Sign-In Sheet

  • Maryville Sign-In Sheet

  • Newport Sign-In Sheet

  • Rogersville Sign-In Sheet

  • Jefferson City Sign-In Sheet

• Daily Payment Log

• OTC Details Log

• New Referrals (Walk Ins)

• Patient Call List Form

• Discharge Form

• UHC - OON / Hardship - Jotform

  • Password to view PDF: Tristar2024@@

• gFE - Jotform

  • password to view PDF: Tristar2024@@

• Financial Hardship - Jotform

  • Password to view PDF: Tristar2024@@

• Assignment Letter - Jotform

  • Password to view PDF: Tristar2024@@

• Medical Records Request

  • for us to send to another office for records

  • Password to view PDF: Tristar2024@@

• Tristar Support Ticket

• Tristar Computer Support Request

• Tristar PT Shared Google Drive

• Card Pointe

• Card Pointe Blank Payment Page

• DME Delivery Ticket

  • Must be completed for splints

• Prompt EMR Login

• Prompt EMR Support

• Prompt Feature Request / Suggestion Form

• pVerify Login (Verify Patient Insurance Benefits)

• Referral Department Log

• Referral MD Login

PDF Forms

• Checklist

• Daily Payment Log - (use ONLY as backup)

• Financial Agreements Form (Auto Pay & Payment Plan)

• Financial Hardship - (Use ONLY as Backup)

• Insurances for Prompt

• Letterhead

• Medical Records Request

• OON Hardship (UHC / UMR / etc)

• School / Work Excuse

• Sign in sheet - (use ONLY as backup)

Insurance Websites:

• AARP Supplement

• All Savers

• Ambetter

• ASH / Cigna

• Availity

• CSI

• Farm Bureau

• Homelink - Provider# P3057

• Lucent Health

• Maestro Health

• Medicaid

• Medicaid Password Reset

• Medicare

• Medi-Share

• Multiplan - PHCS

• Mutual of Omaha

• One Call

• OWCP / Department of Labor

• Pverify

• Sheakley UniComp - Provider # 1342786-0001

• Tricare East

• Tricare for life

• UHC

• UHC/Optum Authorization (Website)

• UHSS

• UMR

• UMWA

• United American

• VACCN

• WellCare

Referral Department / Authorizations

• AIM (Website)

• Cohere - Humana (website)

• Coventry (Website)

• Magellan - RadMD (Website)

• Referral Department Log

• uHC Submission Form - PDF

• VA SAR Form - Jotform