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18 11/2005
The UM Department, in conjunction with the PCP, will coordinate the request for
a specialist referral.
• Required Information
The following information is requested to process referrals:
• Member name
• Member identification number
• Number of visits and time frame for referral
• Member diagnosis
• Practitioner Name / Specialty
• Extending Referrals
PCP - Should the PCP wish to extend an existing referral or request additional
specialty care services for the member, the PCP should notify the UM
Department.
Specialist - Should a specialist request a referral or an extension of a referral,
the specialist should notify the UM Department.
• Payment for Services
Payment for services is subject to the member’s Membership Agreement and
eligibility on the date of service. Should the member not be eligible on the date
of service, payment for the services becomes the responsibility of the member.
Requests may be made via our web site (www.bcbsga.com), telephone, fax or
electronic transmission. Referrals are notification only and a referral number is not
necessary and will not be supplied.