Referrals to Specialists
Some of our patients belong to an HMO or a PPO health insurance plans. It is your responsibility to be familiar with the insurance plans requirements regarding referrals, emergency room visits and covered benefits. Most managed care plans require a patient to be seen by their primary care physician prior to seeing a specialist. Contact your insurance representative or employee benefits office if you are unsure about these details.
When a referral is needed, please let us know in advance. If you see a specialist without first requesting a referral, you assume the financial responsibility for the service. We do not issue referrals after the fact. If a referral was already submitted for you and nobody calls you in 7 days with an authorization, you must call us regarding the status of your referral. Some insurances delay issuing your authorizations to defer or avoid payment for the services you are requesting.
Partners in Health, 32241 Camino Capistrano # 105, San Juan Capistrano, CA 92675 | Tel: (949) 661- 6555 | Fax: (949) 661- 8269 | email: firstname.lastname@example.org