Important information for your health.
The goal of the referral process is to ensure that patients are provided with an appropriate level of care and that:
- Authorized, quality care is offered in a timely manner
- Authorized care matches the benefits defined by the patient's health plan
- Services are medically necessary
- Guidelines, standards of medical practice and criteria set by governmental and other regulatory agencies are adhered to and followed
Our physicians and staff are not rewarded for denying services. Referral decision making is based only on appropriateness of care and service and evidence of insurance coverage.
Patients with PPO or HMO insurance will need to follow certain steps to ensure proper benefit levels and payment of services. When in doubt, check with your health plan.
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