Access to Consent Form Information

Per the N.C. Division of Medical Assistance (DMA), consent forms for sterilizations and hysterectomy statements must be submitted to NCTracks by the Rendering Provider (surgeon). Only the Rendering Provider has access to information regarding the disposition of the Sterilization Consent form and Hysterectomy Statement. Therefore, only the Rendering Provider can view the status of these forms on the secure NCTracks Provider Portal. Moreover, denial letters are mailed to the Rendering Provider for consent forms and statements that are not approved.

The NCTracks Call Center cannot disclose consent form or statement information to anyone other than the Rendering Provider. Ancillary providers should contact the Rendering Provider (surgeon) for information regarding Sterilization Consent form and Hysterectomy Statements status.

For a list of common errors associated with Sterilization Consent forms and Hysterectomy Statements, see the link below to the announcement posted on the NCTracks Provider Portal.