Are MediPass providers supposed to see their assigned recipients before giving an authorization to another doctor, especially for services they can do?
It would be ideal for the patient to get established with the PCP before any authorization is given; however, patients can have on-going treatments or appointments with specialty doctors already in process before a new assignment occurs. The MediPass PCP should use good medical judgment in determining the need to authorize services in these cases so as not to interfere with the care of the patient. If the service is a general medical visit that could be provided at the MediPass PCP office, the MediPass PCP can refuse authorization and suggest the patient be seen in their office.
