Patient Referral Process

The method for referring a patient to a specialist is as follows:

• Medical Home doctor determines a specialist’s care is needed.


• They call SharedCare for referral.


• A SharedCare caseworker selects next eligible specialist.


• They call the specialist’s office for an appointment.


• SharedCare notifies the patient of their appointment.


• The specialist’s office receives written notice -- faxed or hand carried by patient confirming the appointment.


• When the patient arrives, the present their SharedCare eligibility card.


• No additional or prior authorization from SharedCare is required.

Your office staff should:

• Check the card’s expiration date.


• Bill any charges on a Health Insurance Claim form to SharedCare.


• If SharedCare does NOT receive a claim form, your practitioner will NOT receive credit toward the 6 annual illnesses.


• NOT expect payment when you bill.


• If you want to collect a nominal payment,


• Collect it directly from the patient at the time of the visit.


• Indicate receipt of this on your Claim Form