EAN Summary of Treatment Progress

This Summary of Treatment Progress form is to be completed and faxed to EAN for health plan members of the following employers: 
City of Asheville; Biltmore Company; Blue Ridge Hospital; Grove Park Inn; MAHEC; McDowell Hospital; Mission Hospitals and Pardee
Memorial Hospital.
  This document will be used to determine if authorization for continued services is clinically necessary according
to the limits of the health plan
benefit.

Provider Name/Phone#_______________________________________________Date_______________

Client Name:_______________________________________________________DOB:_______________

Current Diagnosis:  Axis I:______________                  Axis II:______________

Beginning GAF:______                                                     Current GAF:_____

Date of initial evaluation and the number of sessions provided by you since that date _____________/______
The maximum number of sessions covered in the plan year:_____
Number of sessions provided by you during current plan year:______

Current and projected frequency of appointments with the client:____________________________________________________________________________________________________________________________________________________________________________________

Current status of suicidal/homicidal ideation or plan and substance use/abuse:______________________________________________________________________________________________________________________________________________________________

History of hospitalizations:_______________________________________________________________________________________________________________________________________________________________

Is the client utilizing services from another provider through insurance, such as a psychiatrist who may have also used and billed for
services within the plan year?  If so, who is the other provider and how are you coordinating services with that provider?
_____________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________

Have you addressed the plan limit with the client and how best to use those sessions according to treatment goals?________ 
What plan have you developed with client for reaching treatment goals within the session limits of the insurance plan?
_________________________________________________________________________________________________________________________________________________________

If the client will need continued treatment beyond their plan limits, what plan have you developed with him or her for
continued treatment?
____________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

Return Summary of Treatment Progress to EAN before the next Request for Additional Services by mail or fax to:

EAN, 417 Biltmore Avenue, Doctor's Park, Suite 3-C, Asheville NC  28801 Phone:  828.252.5725 Fax:  828.258.1336