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Specialist Referral Process

HCP’s Preferred Specialist Network (PSN) and Centers of Excellence (COE)

Preferred Specialist Network

Using high-level data analytics, HCP has identified more than 6,500 specialty care providers across all non-hospital specialties to serve as the core of our referral network, the HCP Preferred Specialist Network.

These high-quality providers work with our PCPs to offer excellent care with a preference to providing care outside of the hospital setting whenever possible.

Referral to a PSN specialist is done with ease; no referrals or authorizations are needed for PCP-to-PSN specialist referrals, nor for PSN specialist-to-PSN specialist referrals.

Centers of Excellence

An elite subset of the PSN, our Centers of Excellence provider practices offer the highest level of collaboration and service to our providers and members.

Referrals to PSN & COE Specialists

Referral to a PSN specialist is done with ease; no referrals or authorizations are needed for PCP-to- PSN specialist referrals, nor for PSN specialist-to-PSN specialist referrals. You can have your patients see any one of these PSN/COE specialists, for as many visits as are required to keep your patients stable and in good health.

To ensure you are referring to a PSN specialist, use the Find an HCP Preferred Specialist tool to locate a provider by specialty, geography, and/or name.

By having your patients see providers in the Preferred Specialist Network you are giving them the best opportunity to remain healthy and stable without the added unnecessary cost of hospital-based services. In the rare situation that you are unable to find the outpatient care you need within the HCP PSN, a referral to a NON-PSN provider will require a Prior Authorization to be submitted to HCP by the PCP.