Difference Between Referral and Authorization in Medical Billing

Referral vs Authorization

In medical billing, understanding the difference between referrals and authorizations is necessary. A referral is when your primary care doctor sends you to a specialist for further care. An authorization is permission from your insurance company to cover a specific service or treatment. Both processes help make sure that patients receive the right care while testing costs manageable. But, … Read more

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