Exhibit_H_Flowchart.pdf

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MEPCOM Referral Services
Solicitation number
W81K04-18-R-0006
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Exhibit H-Medical Referral Services Flowchart

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Government official determines need for a consult (Start Process)

Consult is documented on Standard Form 513

Medical Technician Schedules consult via secure web‐based portal

Vendor sends email notification, scheduling the appointment within one business day

MEPS transport applicants to medical referral services appointment

Consultant/Facilities confirms the identity of the applicant

DD Form 1966 (parental consent)

Send back to MEPS to reschedule consult

Consult and/or anciarlly and laboratory service is completed (typed consult may be requested)

Consultant transmits the results to the prime vendor who uploads it into the portal

The medical referral services provider’s diagnosis and/or prognosis shall be documented in the Consultation Report block of the SF 513 utilizing International Classification of Diseases, ICD‐10CM version coding

Medical referral services facilities contacts the MEPS notifying them that the applicant is ready for pickup

MEPS Technician is notified by email that applicant results can be downloaded or viewed from the portal

MEPS Review if Report is acceptable

Consultation Complete (End process)

MEPS request rewrite of the report due to legability or clinical information

YES

Exhibit H: Medical Referral Services Flow Chart

NO

If outcome of consultation is of poor clinical quality to determine accession, the consult will be rescheduled with another consult

Is Applicant a minor?

YES

NO

NO

YES

MEPS review if report rewrite is acceptable

NO

YES

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