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Direct Referral

THIPA's DIRECT referral, allows direct physician to physician referrals, no authorizations required. This means our members can access specialists easier and faster.THIPA is the ONLY medical group in the South Bay to offer this service to doctors and members. Below is a list of specialties included in THIPA’s Direct Referral:

  • Allergy
  • Cardiothoracic Surgery
  • Colon/Rectal Surgery
  • Coumadin Clinic
  • Endocrinology
  • ENT/ Otolaryngology
  • General Surgery
  • Hematology/ Oncology
  • Infectious Disease
  • Neonatology
  • Nephrology
  • Neurology
  • Pediatric Hematology / Oncology
  • Pediatric Urology
  • Pediatric Gastroenterology
  • Physical Medicine and Rehabilitation
  • Pathology
  • Pediatric Nephrology
  • Pediatric cardiology
  • Pediatric Neurology
  • Radiation Oncology
  • Rheumatology
  • Thoracic Surgery
  • Vascular Surgery

In other words, one health plan might cover certain referrals, tests or treatments, while another health plan might not. Utilization Management makes sure that only those referrals, tests or treatments authorized by your health plan get approved. This prevents you from being billed a large sum that the health plan won't cover. Referrals that require benefit verification or requests for medical treatments for which the health plans have specific policies are reviewed by our Utilization Management department.

Torrance Health IPA's utilization decision-making is based only on well-documented and accepted medical criteria and the medical appropriateness of care and services. No provider or any other individual, including the Chief Medical Officer or the utilization management staff, conducting utilization review receive any financial incentive for issuing denials of coverage or service.

Torrance Health IPA's has no financial incentives that would encourage under-utilization of medical services. Criteria used in making a referral decision can be requested by contacting our Member Services department.

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Torrance CA 90505
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