Get the free Referral and Authorization

Eastern Oregon Coordinated Care Organization Referral and Authorization(503) 2434496 (800) 2582037 Fax (503) 2435105 PO Box 40384 Portland, OR 97240RUSHRETROCall/fax received by Date call/fax received

How to fill out referral and authorization

How to fill out referral and authorization

1. To fill out a referral and authorization form, follow these steps:
2. Obtain the referral and authorization form from your healthcare provider or insurance company.
3. Fill in your personal information, such as your name, date of birth, and contact details.
4. Provide information about your healthcare provider, including their name, address, and contact information.
5. Clearly indicate the reason for the referral or the specific treatment or service that needs authorization.
6. Attach any supporting documents or medical records that may be required.
7. Review the completed form for accuracy and completeness.
8. Submit the form to the appropriate party, such as your insurance company or healthcare provider, according to their instructions.
9. Keep a copy of the completed form for your records.

Who needs referral and authorization?

1. Referral and authorization may be required for individuals who:
2. - Are seeking specialized medical services or treatments that are not directly provided by their primary healthcare provider.
3. - Need to see a specialist or receive a specific medical procedure that may require prior approval from their insurance company.
4. - Have insurance plans that require referrals for certain types of services or treatments.
5. - Are participating in a managed care program, such as an HMO, where referrals are a part of the coordinated healthcare process.
6. - Are receiving healthcare services that extend beyond the scope of their insurance coverage and require additional authorization.

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What is referral and authorization?

Referral and authorization are processes used by insurance companies to approve and confirm coverage for certain medical services or procedures.

Who is required to file referral and authorization?

Healthcare providers are typically required to file referral and authorization on behalf of their patients.

How to fill out referral and authorization?

Referral and authorization forms can usually be filled out online or through a paper form provided by the insurance company. Healthcare providers must include all necessary information and documentation for approval.

What is the purpose of referral and authorization?

The purpose of referral and authorization is to ensure that medical services or procedures are covered by the patient's insurance plan and to prevent unnecessary expenses.

What information must be reported on referral and authorization?

Referral and authorization forms typically require information such as patient demographics, healthcare provider information, diagnosis codes, procedure codes, and medical necessity documentation.