Referrals
We’re here to guide you through specialty care referrals.
Our Referrals Department is here to support you through the referral process for any specialty care you may need. We understand that navigating referrals and insurance requirements can feel overwhelming.
Our team is here to ensure a smooth transition from primary care to specialty care, including assistance with insurance authorizations and scheduling support.
What is a Referral?
A referral is an official recommendation from your primary care provider (PCP) for you to see a specialist or complete specific tests, imaging, or consultations.
Many insurance plans require a referral before covering specialist visits or certain procedures.
Our team helps by
-
managing paperwork
-
coordinating with insurance
-
obtaining authorizations when needed
-
sending documentation to the specialist office
How the Referral Process Works
Initial Consultation with Your Provider
During your appointment, you and your MCHC provider will discuss your health needs. Your provider will explain why a specialist or test may be recommended and answer any questions.
Referral Processing
After the referral is ordered, our Referral Coordinators will:
-
submit the referral request
-
send supporting documentation
-
request insurance authorization if required
Please note that this process may take 3–5 business days, depending on insurance review timelines.
Important patient note: This is the best time for the patient to contact the specialty facility to register in their system if they have never been seen there before.
Confirmation & Scheduling
Once insurance approval is received (if required), our team will send all necessary documents to the specialty facility. This includes:
-
provider referral order
-
medical documentation
-
insurance authorization
If the specialty office allows scheduling by our team, we will attempt to book the earliest available appointment.
Appointment details should be communicated by:
-
MyChart
-
phone
-
mailed letter
If the specialist requires the patient to book directly, include clear contact information for the patient.
Follow-up Care
After the specialist visit, your MCHC provider will follow up with you to review findings and treatment recommendations.
This ensures your care remains coordinated and fully supported.
Patients should begin by contacting their primary care provider through MyChart or scheduling an appointment.
Reasons a visit may be required before referral:
your PCP may be able to treat the issue directly
additional labs or imaging may be needed
insurance may require documentation before approval
Typical turnaround time is 3–5 business days, depending on insurance review and specialty office response.
Updates should be communicated through MyChart.
Patients should contact the MCHC Referrals Department.
If a referral is denied, our team will work with the provider and patient to review next steps, including appeal options when appropriate.
Need Help with Your Referral?
Mattapan Community Health Center – Referrals Department
-
Phone: (617) 898-9155
-
Hours: Monday – Friday, 8:00 AM – 5:00 PM
Our team is here to help you navigate the referral process every step of the way.