If a patient with managed care insurance must be referred to a specialist physician, what is the responsibility of the primary care physician's office?

Question

Quizplus · Accepted Answer

If a patient with managed care insurance needs to see a specialist physician, the primary care physician's office is responsible for submitting a referral form to the managed care organization and obtaining preauthorization for the referral. This ensures that the specialist visit will be covered by the insurance plan. Option A is incorrect, as the patient cannot just make an appointment with the specialist without a referral. Option B and D are incorrect, as the primary care physician's office is responsible for the preauthorization process.

If a Patient with Managed Care Insurance Must Be Referred