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Referrals and Prior Authorizations

Referral Process Tool

Referrals and Prior Authorizations

Uncategorized Referral Process Tool

Referral to a Preferred Specialist is Done with Ease

No referrals or authorizations are needed for PCP-to-Preferred Specialist referrals, nor for Preferred Specialist-to-Preferred Specialist referrals. Your patients can see any Preferred Specialist/COE specialist for as many visits are required to keep your patients stable and in good health.

Use our Referral Process Tool to determine if a referral is required for the specialist you have chosen with your patient.

You will need to know if the provider is an HCP Preferred Specialist and your patient’s medical coverage.
Start by determining the Providers status below.

I am a specialist in the HCP Preferred Specialist

I am NOT an HCP Preferred Specialist

Referrals and Prior Authorizations

Overview of Referrals and Prior Authorizations

Specialist Referral Process

Referral Process Tool

HCP Preferred Specialists and Centers of Excellence

Prior Authorization Process

Prior Authorization Process Tool

Submit a Prior Authorization Request

Prior Authorization – Hospital & Facility-Based Services

Prior Authorization – Preventive Care Services

Prior Authorization – Radiology Services

Prior Authorization – Injectable Medications

Prior Authorization – Lab and Pathology Services

Prior Authorization – Physical and Occupational Therapy

View an existing Prior Authorization Request

Appeals Process

EZ-Net Homepage

Submit a Referral /PA Request

Check Referral/PA Request

Submit a Referral/PA Notification

Check Claims Status

Preferred Specialist Search