|
     
When You Must Pre-certify Care
You will be asked to provide the following information:
 | The covered employee’s name and Social Security number.
|
 | Employer name (University of Chicago).
|
 | Group medical plan number (refer to your I.D. card).
|
 | The patient’s name, address, date of birth and Social Security number.
|
 | If surgery is recommended, the type of surgery and length of stay.
|
 | Hospital name, address and telephone number.
|
 | Date of planned admission or date you were admitted for an emergency.
|
 | Doctor’s name, address and phone number. |
 
|