Do I need a referral for BCBS of Michigan?

Do I need a referral for BCBS of Michigan?

Blue Cross Blue Shield of Michigan Depending on your patient’s plan, you may need to give a referral to a practitioner who’s outside of our network: BCBSM U.P. Blue Referral Form (PDF) – Only Michigan PPO providers for U.P. Blue Cross members can use this form.

Does Blue Cross Blue Shield need a referral?

You do not need to get a referral from your primary care provider to receive covered services from a participating specialist. However, some participating specialists may require a new patient introduction from your treating doctor.

What is a BCN global referral?

A global referral is an authorization put on the system indicating that a patient’s PCP has approved a contracted BCN specialist to perform necessary services to diagnose and treat a member in the office, with the exception of services that require benefit or clinical review.

Do I need a referral every time I see a specialist?

There’s nothing to stop you from seeing a specialist without a referral, but the problem is that you will be responsible for the full cost of the visit. The insurance company will not cover it.

How do I get a referral to a specialist?

Ask your general practitioner or doctor to write you a referral. If your regular GP knows you well, they might be happy to provide a referral without seeing you in person. But in general, it is better to make an appointment to get a referral.

Why do specialists require referrals?

A referral, in the most basic sense, is a written order from your primary care doctor to see a specialist for a specific medical service. Referrals are required by most health insurance companies to ensure that patients are seeing the correct providers for the correct problems.

Can chiropractors do referrals?

Chiropractors are primary contact, primary healthcare practitioners – as such, no form of referral is required as a prerequisite to visit a chiropractor.

What does global authorization mean?

You configure global authorization by allowing or denying access to network resources globally on the internal network. Any global authorization action you create is applied to all users who do not already have an authorization policy associated with them, either directly or through a group.

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