Health insurance that works for you | Oscar
User Guide for oscar models including: HMO Referral Guide, HMO, Referral Guide, Guide
File Info : application/pdf, 2 Pages, 491.05KB
DocumentDocumentHOW-TO GUIDE Find amember?s active referral Oscar?s HMO process is smoot h for bot h t he referring Primary Care Physician (PCP) as well as t he specialist . Whet her you?re enrolling a new client or renewing a plan for a member, t his quick guide shows you exact ly how t o get your client s covered wit h Oscar in 2024. Let 's go! The following will guide you t hrough verifying a referral in t he Provider Port al, so you can schedule an appoint ment wit h an Oscar member. Locate the referral Get t ing st art ed 1. Visit t he member?s prof ile page 2. Select t he ?Referrals?t ab, locat ed under t he member?s personal informat ion 3. View t he a list of specialt y referrals submit t ed on t he member?s behalf Not e: Regardless of t he specialist list ed wit h t he referral, a member can choose a different in- net work specialist . hioscar.com/ providers/ resources Knowyour statuses To t he right of each referral is an associat ed st at us t hat will clarify next st eps Act ive The referral is valid and you?re ready t o go Pending St art Dat e The referral will become valid aft er t he member?s plan st art s Pending PCP Reassignment The referral will become valid aft er t he member changes t heir PCP t o t he referring provider The following st at ues will require t he member t o t ake addit ional st eps wit h t heir PCP: Expired All Visit s Used Wit hdrawn Not e: For specialist s who want t o coordinat e care wit h t he referring provider, you can click on t he provider?s name in t he referral det ails, locat ed under t he st at us. See, we t old you it was pret t y easy. For addit ional informat ion, please visit our Provider Resources page. hioscar.com/ providers/ resources HOW-TO GUIDE