As you may have heard, UnitedHealthcare now requires a referral for specialty care from the patient’s primary care provider for Medicare Advantage HMO and HMO POS plans. Referrals must be submitted before the patient’s appointment. Retroactive referrals will not be accepted.
While this change does not apply to Medicare PPO or traditional Medicare plans, we know requirements from other payers may change. Nebraska Medicine is committed to making this transition as smooth as possible for you and your patients.
To simplify the process, referrals can now be submitted through OneChart Link. Utilizing OneChart Link allows you to submit and view your patient’s information and updates in real time.
We are also working on a faxing option and ways to improve and standardize our pre-visit process. These efforts are intended to help identify appointments that may be missing a referral before their visit whenever possible.
Our goal is to work closely with you to make this process as smooth as possible and help ensure your patient’s care is covered according to their insurance requirements. We know this is a significant change, and we appreciate your partnership as we work together to support our shared patients and minimize disruptions to their care.
We will be providing more information soon. In the meantime, please contact physicianoutreach@nebraskamed.com for more information about OneChart Link.
We enjoy our partnership with you and look forward to working together to help our shared patients.