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In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [ 1 ] [ 2 ] Tertiary care is usually done by referral from primary or secondary medical care personnel.
After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.
Tasks, usually performed by administrative staff such as tracking referral process and correcting errors, are PCP's responsibility in the e-consultation system. Moreover, PCPs are responsible for completing the prior work-up that the specialist requests, whereas such work was done by specialist as necessary in the paper referral system. [10]
Finland was the first country to implement an e-referral system, introduced in the capital city of Helsinki in 1990. The e-referral project was put in place to allow for a more cost-effective way of treating a bigger number of patients, increase productivity and to improve access to healthcare.
211 is a special abbreviated telephone number reserved in the North American Numbering Plan (NANP) as an easy-to-remember three-digit code to reach information and referral services to health, human, and social service organizations.
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