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Tertiary Care Services

Sometimes, your patients will require the kind of complex consultative care that only a tertiary care facility can provide. In those cases, you may wish to make a referral to a tertiary care center. All referrals to plan tertiary care centers are reviewed on an individual basis. When we review these referrals, we mainly consider the member's medical needs and whether the requested services are available in the non-tertiary care network.

To make a referral to a tertiary care center, please have your office call the Utilization Management Department at 419-887-2520 or 800-891-2520. Your office may also choose to fill out the out-of-plan referral worksheet and fax the completed request to the Utilization Management Department at 419-887-2028.