The plan offers members and employers an array of health management programs, which support evidence-based approaches to … Liaison Fax: (508) 839-7951 (508) 887-4363 Liaison Phone: (508) 887-4988 Liaison E-mail: liaisons@tufts.edu Medical Records Phone: (508) 887-4636 Appointment Date: Daytime (work) phone: Time: Zip Code: Age: Zip Code: Service to which referred: Owner Information Name: Home phone: Email: A nonprofit organization founded in 1979, Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. The Referral Process in 3 Easy Steps. At Tufts Medical Center, patient safety is our top priority. We see over 20,000 cases each year. Electronic self-service tools save time and will help streamline providers' practices, reduce administrative costs, and increase information security. Skip Navigation. Step Two: Your PCP refers you to a specialist in his/her referral circle and sends your referral information to the specialist. Based on guidance from the Mass. Tufts Health Plan distributes its Provider Update* newsletter by email.In order to receive Provider Update, you must complete the online registration form. At Tufts Health Plan, we're redefining what a health plan can do. Please use the below form to request an insurance referral to a provider outside of the Tufts Medical Center and New England Quality Care Alliance (NEQCA) network.A request cannot be processed without all the necessary information. Explore information for members, providers, brokers, employers and visitors. Step One: Discuss your medical condition or concerns with your PCP. Tufts VETS (Veterinary Emergency Treatment & Specialties) in Walpole, MA serves pets throughout New England with 24-hour emergency veterinary and specialty referral services. Listed below are helpful tools/resources for any student who is seeking referral information and ready to connect with a provider in the community for long-term therapy/treatment. ThrivingCampus CMHS has partnered with a comprehensive referral platform called ThrivingCampus. This user-friendly site, gives students the ability to search providers in the area based on their At Tufts Children's Hospital at Tufts Medical Center, if patients are enrolled within the Wellforce Care Plan ACO, they may benefit from any or all members of the ACO care team. The plan offers members and employers an array of health management programs, which support evidence-based approaches to … Providing Unsurpassed Veterinary Emergency & Specialty Care. *Copies of this information can be made available upon request by calling the appropriate Tufts Health Plan Provider call center. A nonprofit organization founded in 1979, Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. This form can be used as the Exception Request Forms for physicians, Prior Authorization Form for Physicians and Enrollees and the Utilization Management Form for Physicians and Enrollees. Tufts Children's Hospital in Boston is a full service pediatric hospital servicing newborn infants to young adults. Your PCP may consult with his or her medical group on the best course of action. Alert. This form is used to submit a request for coverage, or payment, of a prescription drug through the Tufts Health Plan Senior Care Options plan. instructions needed to complete the form. Information and resources for providers. The team is composed of an ACO nurse care manager, community health worker, and a social worker. Step Three: Table 1: Paper Referral Form Fields MEMBER INFORMATION Field Name Special Instructions Member name First, middle initial, last Date of birth Date of referral This date must precede the date of service Member ID Tufts Health Plan member ID number, from ID card or monthly member list Referral Form Please return form to liaisons via e-mail or fax. Tufts Health Plan offers a wide range of electronic solutions, including member eligibility status, benefit information, claim submission, and clinical information. A request is not a guarantee of approval.