{"id":602,"date":"2026-09-27T13:17:52","date_gmt":"2026-09-27T17:17:52","guid":{"rendered":"https:\/\/mchcpublicwebsite.kinsta.cloud\/?page_id=602"},"modified":"2026-09-28T16:58:33","modified_gmt":"2026-09-28T20:58:33","slug":"referrals","status":"publish","type":"page","link":"https:\/\/new.mattapanchc.org\/es\/referrals\/","title":{"rendered":"Referrals"},"content":{"rendered":"
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\n\t\tReferrals\t<\/h1>\n\n\n\t

\n\t\tWe’re here to guide you through specialty care referrals.\t<\/h2>\n\n\n\t

\n\t\tOur 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. \t<\/p>\n\n\n\t

\n\t\tOur team is here to ensure a smooth transition from primary care to specialty care, including\u00a0assistance\u00a0with insurance authorizations and scheduling support.\t<\/p>\n\n<\/div>\n\n\n

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\n\t\tWhat is a Referral?\t<\/h2>\n\n\n\t

\n\t\tA referral is an official recommendation from your primary care provider (PCP) for you to see a specialist or complete specific tests, imaging, or consultations.\u00a0
Many insurance plans require a referral before covering specialist visits or certain procedures.\u00a0\t<\/p>\n\n<\/div>\n\n<\/div>\n\n\n

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\n\t\tOur team helps by<\/strong>\t<\/p>\n\n\n\n

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    \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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    \n\t\tmanaging paperwork\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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    \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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    \n\t\tcoordinating with insurance\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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    \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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    \n\t\tobtaining authorizations when needed\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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    \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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    \n\t\tsending documentation to the specialist office\t<\/p>\n\n<\/div>\n\n<\/li>\n\n<\/ul>\n\n<\/div>\n\n<\/div>\n\n<\/div>\n\n\n

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    \n\t\tHow the Referral Process Works\t<\/h2>\n\n\n\n
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    \n\t\tInitial Consultation with Your Provider\t<\/h3>\n\n\n\t

    \n\t\tDuring 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.\u00a0\t<\/p>\n\n<\/div>\n\n\n

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    \n\t\tReferral Processing\t<\/h3>\n\n\n\t

    \n\t\tAfter the referral is ordered, our Referral Coordinators will:\u00a0\u00a0\t<\/p>\n\n\n\n

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      \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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      \n\t\tsubmit the referral request\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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      \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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      \n\t\tsend supporting documentation\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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      \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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      \n\t\trequest insurance authorization if\u00a0required\t<\/p>\n\n<\/div>\n\n<\/li>\n\n<\/ul>\n\n\n\n

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      \n\t\tPlease note that this process may take 3\u20135 business days, depending on\u00a0insurance\u00a0review timelines.\u00a0\t<\/p>\n\n<\/div>\n<\/div><\/div>\n\n\n\n

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      \n\t\tImportant patient note:<\/strong>\u00a0This 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.\u00a0\t<\/p>\n\n<\/div>\n<\/div><\/div>\n\n<\/div>\n\n\n

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      \n\t\tConfirmation & Scheduling\t<\/h3>\n\n\n\t

      \n\t\tOnce insurance approval is received (if\u00a0required), our team will send all necessary documents to the specialty facility. This includes:\t<\/p>\n\n\n\n

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        \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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        \n\t\tprovider referral order\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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        \n\t\tmedical documentation\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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        \n\t\tinsurance authorization\t<\/p>\n\n<\/div>\n\n<\/li>\n\n<\/ul>\n\n\n\t

        \n\t\tIf the specialty office allows\u00a0scheduling by\u00a0our team, we will\u00a0attempt\u00a0to book the earliest available appointment.\t<\/p>\n\n\n\t

        \n\t\tAppointment details should be communicated by:\u00a0\u00a0\t<\/p>\n\n\n\n

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          \n\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t<\/div>\n\n\n
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          \n\t\tMyChart\u00a0\u00a0\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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          \n\t\tphone\u00a0\u00a0\t<\/p>\n\n<\/div>\n\n<\/li>\n\n\n\n

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          \n\t\tmailed letter\t<\/p>\n\n<\/div>\n\n<\/li>\n\n<\/ul>\n\n\n\t

          \n\t\tIf the specialist requires the patient to book directly, include clear contact information for the patient.\u00a0\t<\/p>\n\n<\/div>\n\n\n

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          \n\t\tFollow-up Care\t<\/h3>\n\n\n\t

          \n\t\tAfter the specialist visit, your MCHC provider will follow up with you to review findings and treatment recommendations.\u00a0
          This ensures your care\u00a0remains\u00a0coordinated and fully supported.\t<\/p>\n\n<\/div>\n\n<\/div>\n\n\n

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