What’s the difference between authorization and referral?

Diff b/w auth and referral.

In medical billing, authorization and referral serve different purposes, though both are crucial for insurance coverage and patient care. Simply put, authorization is permission from the insurance company for a service, while a referral is a recommendation from a primary care provider (PCP) to see a specialist. Let’s break down the details to help you … Read more

What Is a Referral? | Referral vs Authorization

Referral vs Authorization

A referral in healthcare happens when a primary care physician (PCP) sends a patient to a specialist. This is for more evaluation, diagnosis, or treatment. Referrals help ensure patients get the right care for their specific medical needs. They are essential for coordinated care. Difference between Referral and Authorization in Medical Billing In medical billing: … Read more