We have upgraded our secure provider website, Provider Connections, so Passage PCPs and specialists can view referrals.
Passage plans, which went into effect Jan. 1, 2017 for some commercial and Medicare Advantage plans, require members to get primary care provider (PCP) referrals to see any specialists in our network. This is indicated on members' ID cards.
Now specialists can log into Provider Connections and go to the referral section to make sure patients have valid referrals before their appointments. Without referrals, we will deny claims for specialists' consultation services and tell members they are responsible for the costs.
If a referral's end date needs to be extended, only the patient's Passage PCP can make the edit online.
As a reminder, referrals are not required when Passage members need hospital and/or ancillary care services, such as radiology and lab work.
