Referrals

It may be necessary for one of our providers to refer you to a specialist to assume the care for a particular diagnosis or condition. Our referral specialist will contact the specialist office and request an appointment time on your behalf. This process can take several weeks, depending on the specialist office. Once we have confirmed your initial appointment we will contact you with the date and time. If it's necessary to cancel or reschedule your appointment with the specialist, it is the patient's responsibility to do so.

 

 

Precertification of Services

Most health insurance plans have precertification or prior authorization requirements for specific services, including, but not limited to being referred to a specialist for additional care. This process can take several weeks, depending on the requirements of your health insurance plan. Please make us aware of any special precertification or prior authorization needs your health plan requires.

 

It is the responsibility of each patient to know their specific health insurance plan requirements. We work with over 2,000 insurance plans and it is not feasible for us to know each individual plans' requirements. Please make us aware of any particular plan requirements your plan has in order for you to receive the maximum benefit under your plan.

 

It is the patient's responsibility to confirm with their health insurance plan that all precertification and/or prior authorization requirements have been met in accordance with the patient's health insurance coverage.