Referrals

It depends on your insurance. HMO plans usually require a pediatrician referral before the specialist visit will be covered. PPO plans often don’t. Check your card or call your insurance — we’ll help with the paperwork either way.

Call us, or send a message through the patient portal. Tell us the specialty, what’s going on, and (if you know) the specialist you’d like to see. We’ll process the referral, send records, and notify you when it’s done.

Routine referrals are typically processed within 1 to 3 business days. Urgent referrals are handled the same day. If you haven’t heard back when expected, call us.

You can request a specific specialist (and we’ll work with that), or we can recommend one based on insurance, location, and what fits your child’s situation. We’ll always be honest about who we’ve had good experiences with.

Insurance denials happen — sometimes for documentation, sometimes for medical necessity. Call us. We can submit additional information, request a peer-to-peer review, or appeal. Don’t take a denial as final until we’ve helped you push back.

Absolutely. Specialists manage their specific piece — your pediatrician keeps the whole picture, handles routine and well care, and coordinates everything. Don’t step back from us when a specialist steps in.