Referrals to Core Medical Physicians
How patients are referred to our specialists, and how PCPs and other medical offices can send a referral to Core Medical Physicians.
For Patients: Coming to See a Specialist
Some patients may need a referral or insurance authorization from their primary care provider (PCP) before they can be scheduled with one of our specialists.
- Some insurance plans require a PCP referral or authorization before a patient can see a specialist.
- Please check with your insurance plan to find out whether a referral is required.
- If a referral is required, your PCP may need to send the referral/authorization to Core Medical Physicians before your specialty appointment can be scheduled.
- Please make sure your PCP has referred you to the appropriate specialty and provider.
- You can contact our office to confirm whether your referral has been received.
Please note: Having a referral does not necessarily guarantee insurance coverage. Please verify your benefits and referral requirements with your insurance company.
For PCPs: Sending a Referral to Core Medical
PCP offices can send referrals and supporting medical records to our office. Information that is helpful when sending a referral includes:
- Patient’s full name
- Date of birth
- Patient contact information
- Insurance information
- Reason for referral
- Diagnosis/ICD-10 code, if available
- Referring provider’s information
- Insurance referral or authorization, when required
- Relevant office notes
- Recent laboratory results
- Imaging reports
- Previous procedure reports
- Pathology reports, when applicable
- Any other records relevant to the reason for the specialty consultation
Referral Fax: 866-531-7636
For Other Medical Offices & Providers
Clinics, physicians, and other healthcare providers who would like to refer a patient to Core Medical Physicians may send the patient’s referral along with the relevant clinical documentation to our office by fax.
Please include the referral, insurance authorization (when required), and relevant clinical records to help us process the referral and schedule the patient appropriately.
Referral Fax: 866-531-7636
For Patients: The Referral Process
- Referral is submitted. Your PCP or referring provider sends the referral and supporting documentation to Core Medical Physicians.
- Our office reviews the referral. Our staff reviews the referral to determine the appropriate specialty/provider and whether additional information or authorization is needed.
- Insurance requirements are verified. When applicable, we verify that the required referral or authorization is available.
- You are contacted. Once the referral is ready to proceed, our office will contact you regarding scheduling.
- Your specialty appointment is scheduled. You are scheduled with the appropriate specialist based on the referral and provider availability.
