Establish Streamlined Referral Process Clause Samples
The "Establish Streamlined Referral Process" clause sets out a clear and efficient procedure for referring matters, clients, or issues between parties. Typically, it outlines the steps, timelines, and responsible parties involved in making and handling referrals, such as requiring written notice or using a designated point of contact. By standardizing the referral process, this clause minimizes delays, reduces confusion, and ensures that referrals are managed consistently and effectively.
Establish Streamlined Referral Process. Medical Group shall establish a streamlined referral process, through which any Primary Care Physician who deems that a referral to a specialist in any Express Referrals Speciality for any Member is necessary, may refer the Member to Medical Group’s Participating Providers specializing in such Express Referrals Speciality without the prior authorization of the Medical Group or the Medical Group’s utilization review committee. The Medical Group must, however, continue to track all referrals. If, for any reason, Medical Group fails to maintain a streamlined referral process which meets all of the requirements of Express Referrals, Medical Group shall provide immediate written notice thereof to PacifiCare Medical Group’s failure to so notify PacifiCare that it is no longer maintaining standards in compliance with Express Referrals shall be a material breach of the Agreement, subjecting Medical Group to all of the remedies contemplated thereby.