If the OB/GYN finds something during a routine exam that requires additional testing or treatment, can he/she request an authorization without going through the Primary Care Physician (PCP)?
Yes, if an OB/GYN determines that further medical investigation is needed relating to an OB/GYN condition, he/she may contact ODS without going through the PCP for an authorization. Nevertheless, the PCP should be informed of the gynecologic condition discovered during the exam. If the medical condition is not related to OB/GYN, then the PCP will have to initiate any follow-up referrals or authorizations. Some groups have exceptions, refer to the OHP Referral & Authorization Guidelines.
Related Questions
- If an OB/GYN finds something during a routine exam that requires additional testing or treatment, can he or she request an authorization without going through the primary care physician (PCP)?
- If the OB/GYN finds something during a routine exam that requires additional testing or treatment, can he/she request an authorization without going through the Primary Care Physician (PCP)?
- If an OB/GYN finds something during a routine exam that requires additional testing or treatment, can he or she request an authorization without going through the primary care physician?
