Question

Answer the following questions relating to referrals.

1. Who generates the initial referral letter?

2. Where should a referral letter be stored?

3. What is the most common length of time for a referral to a specialist?

4. Why is a referral letter important in relation to claims

Answer 1

The patient referral to hospitals, specialists and other advanced care settings are an important aspect of primary health care.

Who writes a referral letter?

The treating doctor or the physician in the primary care setting where the patient has been on treatment will have to write the referral letter.

Usually it is hand written and signed by the treating doctor. It can also be typed and printed and signed by the treating doctor.

Where should a referral letter be stored?

The referral letter is usually stored along with the client’s records. A reply form also is usually attached to the referral letter , so that the specialist can communicate back.

What is the most common length of time for a referral to a specialist?

The reference to a specialist is usually valid for 3 months. The referring physician can mention the referral as emergency referral. The reference to a specialist will take 1 week to 1 month to get approved by the insurance agency. It also depends on the patient’s condition, like a routine checkup, very important consultation or emergency care etc.

Why is a referral letter important in relation to claims?

Referral letters are beneficial in claiming insurance for the specialist care received. Actually a reference letter is essential to get the medical claim of benefits. In some situations, the specialist may have separate payment plans.