4 Questions to Ask About Patient Referrals

Learn about referrals at the office of Dr. Pedro Ylisastigui MD. Call us for more information or schedule an appointment online! We have convenient locations to serve you in Lehigh Acres FL, and Fort Myers FL.

Patient Referrals Near Me in Lehigh Acres, FL and Fort Myers, FL
Patient Referrals Near Me in Lehigh Acres, FL and Fort Myers, FL

Table of Contents:

What is a referral from a doctor?
How do doctor referrals work?
What information do I need to provide for a referral?
How do I get a referral?

Do you need to see a medical specialist or think you may need to see one? If so, you might need a referral first, and we can provide that referral here at the office of Dr. Pedro Ylisastigui MD. We’d like to give you an idea of what the referral process is like so you’ll know what to expect when you come see us. Contact us at our clinic or keep reading to learn more about referrals with us at the office of Dr. Pedro Ylisastigui MD.

What is a referral from a doctor?


A referral is basically a written order from a primary care provider to see a medical specialist for a medical service. It might be necessary for a patient to get a referral before they’re able to see a specialist, and it might also be necessary so a health insurance company will know the patient is seeing the right kind of specialist for the right kind of service. The referral process is typically simple for the patient.

How do doctor referrals work?


First, a patient will go see a primary care provider about a health-related matter, like a recent injury, the symptoms of an illness, or a chronic condition like diabetes. After, the provider will assess the patient, and if the provider cannot treat the patient or if the patient requests a referral, the provider can provide a referral to see a specialist. The patient can request a referral for any reason, and if the provider approves the referral, the referral process continues.

Next, the provider may ask the patient about the patient’s current insurance information. This information may be important because insurance plans can have different sets of conditions for referrals, or have certain providers the patient must see. Once the provider has the insurance information, the provider can check whether it’s necessary to get an authorization to allow the patient to see the specialist.

If an authorization is necessary, the provider can submit a request to the insurer, and within a few days, the insurer will likely process the request and either approve or deny the referral. If the request is approved, the insurer’s approval information and other documentation will be forwarded to the specialist. This part of the process can take a couple weeks.

Once the specialist has the approval information and other documentation, the specialist will screen the referral, verify that they contract with the insurance company, and then contact the patient to make a consultation or appointment. That’s it for the referral process!

What information do I need to provide for a referral?


You may need to provide the primary care provider, your insurance company, and the specialist with your updated contact information and living address. You may also have to provide records like doctor’s visit notes, lab work results, and X-ray results. Here at the office of Dr. Pedro Ylisastigui MD, we can help you gather the information you’ll need for your referral.

How do I get a referral?


You can get a referral right here from us at the office of Dr. Pedro Ylisastigui MD. As a primary care provider, the doctor is fully capable of providing you with a referral, and this includes contacting your insurance company and connecting with a medical specialist. We’re sure your insurance process will be very smooth with us.

Contact our clinic today for a quick appointment with the doctor. He’ll provide you with a referral if you need one. We hope to hear from you soon! Visit Dr Pedro Ylisastigui MD for More Information. We serve patients from Fort Myers FL, Lehigh Acres FL, Gateway FL, Alva FL, Buckingham FL, Tice FL, Villas FL, Cape Coral FL, Matlacha FL, and Suncoast Estates FL.