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Ob gyn referral 2026
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- Click ‘Get Form’ to open the ob gyn referral in the editor.
- Begin by filling out the PROVIDER INFORMATION section. Enter the OB/GYN Provider Name and Provider Number, ensuring accuracy for claims payment.
- Next, move to the PATIENT INFORMATION section. Fill in the Patient Name, Gateway Member ID#, Diagnosis/Complaint, and Provider Phone #. This information is crucial for processing referrals.
- In the FACILITY INFORMATION section, specify the Facility Name and Facility Provider ID#. Ensure that all details are correct as this will affect service validation.
- Review the Referred Services options and check any applicable boxes. Specify lab testing details if necessary.
- Finally, sign and date the form in the OB/GYN Signature and Referral Date fields. Remember, an unsigned form is invalid.
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ob gyn referral
Refer a patient to a specialist in the Department of Obstetrics Gynecology by calling the Center for Ambulatory Services at 617-726-2000, Monday Friday, 8:Read more
You do not have to get a referral for OB/GYN examinations, care resulting from the annual examination, treatment of acute gynecologic conditions, and any care