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[18-
ALDEA
Refer to JAC
Acct.# 36952
NO
YES
YES
Reference
(ins. + priv. pay List)
REFER OUT
NORTH METRO
(GERIATRIC PSYCH
EXCEPTION: DINER CONSULTS
OTHER PROVIDERS
If requesting another provider, ask
what the discharge date is and
take a message if there is time.
ALDEA
ASCENT/BAUXITE = NO MSG..
AR FAM. 1ST = NO MSG.
ARKIDS = + WRITTEN MSG
Reference
(Diner handout))
JARVIS OR DAVIS
$500//$275 Priv. Pay
+ WRITTEN MESSAGE
REFER OUT
[Bradford]
Reference
(Age List)
MATCH PROVIDER
SPECIALTY WITH D/O
Ex.: Pt w/ Paranoid Schizophrenia
Provider: FLANIGIN (only one with
schiz. speciality
FLANIGIN
Be sure to
inform them of
wait time
UBH OR TRI-CareReference
(Specialty List)
= WRITTEN MESSAGE REQUIRED
Reference
(Referral List)
If pt . calls to say
they were referred,
ask for them to get
a ref. sent and write
a mess./sch. if age
& ins. match
DAVIS
Hendrix/UCA = NO MSG.
Pre-Approved List = NO MSG.
JARVIS
MSGS FOR ALL NP REFS.
*FOWLER, *BRIDGEWAY
If another
physician is
calling to refer a
pt.. ALWAYS
TAKE A
MESSAGE.
DEPRESSION &
ANXIETY &
MED MNGMENT
PERSONALITY/
MOOD D/O
(EVAL & MED. MNGMNT)
AGE?
ALL PROVIDERS TREAT
NEEDS IMMEDIATE HELP
OTHER
[DINER][TYPICALLY) SHERRILL
+ WRITTEN MESSAGE
SHERRILL
NO MESSAGE
DAVIS OR DINER
$600 Priv. Pay
Ex: Trial Clearance AR Ortho Ref.]
+ WRITTEN MESSAGE
LAPBAND
DINER
Nursing + Military Evals,
Legals, AR <3 Hosp., etc.
NOT HOFFMAN
REFER OUT
Moneypenny
Clark, Lowitz
BCBS, HEALTH ADV.
& QUALCHOICE.
NO MEDICAID
HAVE THEY BEEN TESTED?
SURGERY
CLEARANCE
ADHD
HOSPITAL F/U?
[ONE-TIME]
CONSULTS
DIOCESE
OF LR
ADULTS
(18-65)
WHAT WOULD THE PATIENT BE SEEN FOR?
NO
REFERRED BY…
NOT FLANIGIN
(IF PRIMARILY SA)
CHILDREN
(4 - 25)
65+
AMICK PTS.
SUBSTANCE
ABUSE
JAM
DAVIS [18-25+]
HOSPITAL F/U
(HOSPITAL CASE WORKER CALLING
FROM INPATIENT UNIT))
Yes ACCEPTS UBH & ARKIDS
Yes
Yes
Yes
NO UBH OR TRICARE
Yes
Yes
PALMER
FLANIGIN
SHERRILL
HOFFMAN
JARVIS
BENNETT
DINER
Yes
No
No
ALDEA
NO MEDICAID (ARKIDS)/MDCARE
NO UBH OR TRICARE
CHECK OON INS.
NO ADD. RESTRICTIONS
NO ADD. RESTRICTIONS
NO ADD. RESTRICTIONS
NO ADD. RESTRICTIONS
No
No
No
No
No
No
Yes
Yes
Yes
ACCEPTS NP? ADD. INS. INFO MSG. REQ’D?
NOT SHERRILL,
BENNETT, OR DAVIS
REFER OUT
[COLD CALLS]
Rice Clinic or Dr. HAAS
Accepted by all providers
INSURANCE?

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APC FLOWCHART [final]

  • 1. [18- ALDEA Refer to JAC Acct.# 36952 NO YES YES Reference (ins. + priv. pay List) REFER OUT NORTH METRO (GERIATRIC PSYCH EXCEPTION: DINER CONSULTS OTHER PROVIDERS If requesting another provider, ask what the discharge date is and take a message if there is time. ALDEA ASCENT/BAUXITE = NO MSG.. AR FAM. 1ST = NO MSG. ARKIDS = + WRITTEN MSG Reference (Diner handout)) JARVIS OR DAVIS $500//$275 Priv. Pay + WRITTEN MESSAGE REFER OUT [Bradford] Reference (Age List) MATCH PROVIDER SPECIALTY WITH D/O Ex.: Pt w/ Paranoid Schizophrenia Provider: FLANIGIN (only one with schiz. speciality FLANIGIN Be sure to inform them of wait time UBH OR TRI-CareReference (Specialty List) = WRITTEN MESSAGE REQUIRED Reference (Referral List) If pt . calls to say they were referred, ask for them to get a ref. sent and write a mess./sch. if age & ins. match DAVIS Hendrix/UCA = NO MSG. Pre-Approved List = NO MSG. JARVIS MSGS FOR ALL NP REFS. *FOWLER, *BRIDGEWAY If another physician is calling to refer a pt.. ALWAYS TAKE A MESSAGE. DEPRESSION & ANXIETY & MED MNGMENT PERSONALITY/ MOOD D/O (EVAL & MED. MNGMNT) AGE? ALL PROVIDERS TREAT NEEDS IMMEDIATE HELP OTHER [DINER][TYPICALLY) SHERRILL + WRITTEN MESSAGE SHERRILL NO MESSAGE DAVIS OR DINER $600 Priv. Pay Ex: Trial Clearance AR Ortho Ref.] + WRITTEN MESSAGE LAPBAND DINER Nursing + Military Evals, Legals, AR <3 Hosp., etc. NOT HOFFMAN REFER OUT Moneypenny Clark, Lowitz BCBS, HEALTH ADV. & QUALCHOICE. NO MEDICAID HAVE THEY BEEN TESTED? SURGERY CLEARANCE ADHD HOSPITAL F/U? [ONE-TIME] CONSULTS DIOCESE OF LR ADULTS (18-65) WHAT WOULD THE PATIENT BE SEEN FOR? NO REFERRED BY… NOT FLANIGIN (IF PRIMARILY SA) CHILDREN (4 - 25) 65+ AMICK PTS. SUBSTANCE ABUSE JAM DAVIS [18-25+] HOSPITAL F/U (HOSPITAL CASE WORKER CALLING FROM INPATIENT UNIT)) Yes ACCEPTS UBH & ARKIDS Yes Yes Yes NO UBH OR TRICARE Yes Yes PALMER FLANIGIN SHERRILL HOFFMAN JARVIS BENNETT DINER Yes No No ALDEA NO MEDICAID (ARKIDS)/MDCARE NO UBH OR TRICARE CHECK OON INS. NO ADD. RESTRICTIONS NO ADD. RESTRICTIONS NO ADD. RESTRICTIONS NO ADD. RESTRICTIONS No No No No No No Yes Yes Yes ACCEPTS NP? ADD. INS. INFO MSG. REQ’D? NOT SHERRILL, BENNETT, OR DAVIS REFER OUT [COLD CALLS] Rice Clinic or Dr. HAAS Accepted by all providers INSURANCE?