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Medical providers

Health Advantage Referral Reminder

Primary care physicians participating with Health Advantage

For referrals to participating in-network specialist providers, complete the "script" referral sheet.

Retroactive referrals are discouraged and may not be eligible for benefits.

Specialist providers participating with Health Advantage

Remember, for your services to be considered as in-network benefits, you must place the referral number marked on the "script" referral sheet in field 23 of the HCFA-1500 every time. If the referral number is not on your claim, then the service will either be denied or paid as an out-of-network benefit if the patient has Point-of-Service (POS) benefits.

Retroactive referrals are discouraged and may not be eligible for benefits.

If you have any questions, call your Regional Office or Customer Service at 1-800-843-1329.