Referral Process
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How do I make an appointment with a specialist? Do I need a referral?
If you have a PPO insurance plan, you don't need a referral to a specialist
for an initial consult. You may need referrals for tests and procedures,
depending on your health plan. You can visit any doctor in or out of your
network, though copays for out-network doctors are generally higher. If
you have an HMO insurance plan, you will need to get a referral from your
primary care physician (PCP) before seeing a specialist, otherwise your
insurance may not pay for the visit. Your PCP can provide you with a referral.
How long should it take for my referral to get processed?
Processing times may vary based on the urgency of the treatment. However,
for routine treatments we typically target a turnaround of 5 business
days for HMO referrals. Procedures and tests that require referrals for
PPO patients may take up to 14 business days for processing.
How do I find out the status of my referral?
Click the green "Help" or "Chat" button on the bottom
right to live chat with our service center from 8 am to 5 pm Monday through
Friday. If your message is received after hours, we'll get back to
you as soon as possible. You can also call us at 800-627-8106 from 7 am
to 7 pm Monday through Friday.
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