Referrals - 2020 UnitedHealthcare Administrative Guide

Referrals

Medica HealthCare’s Simple Referral Process helps Primary Care Physicians coordinate patient care.

Referrals are needed for most participating specialists.* Requests for non-participating care providers need additional authorization.

• You may request a referral for one or multiple visits.
• The referral is good for the number of visits approved, valid for six months from the date issued.
• No supporting documentation is needed for referrals to specialists.
• Submit all requests for referrals through our online provider portal on UHCprovider.com/referral.
• Upon submitting a referral request, the system automatically generates the referral number.
• For member convenience, you may also provide members with a copy of the referral confirmation.
• Specialists have the ability to view referral via UnitedHealthcare portal.
• For additional questions call us at 877-670-8432 or email us at pcp-NetworkManagementServices@uhcsouthflorida.com.

* Contact Network Management Services for a complete list of specialty types that need referrals.