Referrals
If your provider determines that you need to see a specialist, they will submit a referral on your behalf. Our dedicated Referrals Department typically processes all standard referrals within 3–5 business days. If the referral is urgent, it will be prioritized and completed the same day.
Once your referral is submitted and accepted, the specialist’s office will reach out to you directly to schedule an appointment. If you don’t hear from them within two weeks, please contact our Referrals Department so we can assist.
A few things to keep in mind:
- Be sure the referral is for a service covered by your health plan. You can check by calling your health plan directly.
- Some referrals have limitations, such as a set number of visits or an expiration date.
Because your Mid-State provider understands your full health history, they will also share relevant information with the specialist to ensure coordinated and informed care.
Prior Authorizations
Some health plans require prior authorization (also known as precertification) before certain services can be provided. This information is usually found on the back of your insurance card or in your benefits handbook. You can also call your insurance company’s customer service line for guidance.
Questions?
We’re here to help. Please contact Mid-State’s Referral Services Department by calling (603) 536-4000.