Referrals and Authorizations

At Alertive Healthcare Medical Group, we provide comprehensive support for referrals and authorizations to ensure that our patients have access to the specialized care they need. Our dedicated team is committed to facilitating the referral and authorization process, enabling our patients to receive the appropriate medical services.

What are referrals and authorizations?

Referrals and authorizations are processes used by health insurance plans and healthcare providers to ensure that patients receive the most appropriate care. A referral is an order from a primary care provider (PCP) for a patient to see a specialist or receive certain medical services. An authorization, also known as prior authorization, is approval from the health plan before a patient receives a service or fills a prescription.

When would I need Referrals and/or authorizations?

Patients typically need referrals when their PCP determines that specialized care is necessary. Authorizations are required for specific services or treatments, such as diagnostic tests, surgeries, or certain medications. These processes help ensure that patients receive the most suitable and cost-effective care.

What can I expect at an appointment for Referrals and Authorizations?

During an appointment for referrals and authorizations, our team will work closely with you to understand your medical needs and coordinate the necessary paperwork. We will guide you through the referral and authorization requirements, assist in scheduling any specialized appointments, and ensure that you have the information needed to access the recommended medical services. Our goal is to streamline the process and support you in receiving the care you need.