Health Partners Hospital

Insurance Name	Hospital Service	Referral Form Required	Pre-Certification Phone Reference	Initiating Provider
Health Partners Senior Partners	Inpatient Acute Care – Elective Non-Elective Extended Acute	Yes No No	Yes Yes Yes	Admitting Physician
Billing Address:	Skilled Nursing Facility	No	Yes	Admitting Physician
	Outpatient
PO Box 2818	Emergency Room Visits	No	No
Philadelphia, Pa. 19122-2815	Same Day Surgery	Yes	Yes	PCP/Specialist
	Diagnostic Radiology	Yes	No	PCP
Eligibility 215-849-4791	CT Scan	Yes	No	PCP
	Stress Test	Yes	No	PCP
Pre-Certification 215-849-3513	Nuclear Stress Test	Yes	No	PCP
	Echo	Yes	No	PCP
Provider Services 215-991-4313	Ultrasound	Yes	No	PCP/GYN
	Chemotherapy	Yes	Yes	PCP
	Laboratory
	Capitated with SmithKline	Yes – SmithKline Lab Form	No
	STAT testing at Hospital	Yes – Write stat on form	No
	Pre-Admission Testing	Yes – See note #1		PCP/Specialist
Referral is good for 60 days	Cardiology Department	Yes	No	PCP
Unlimited visits per referral	Physical Therapy	Yes	No	PCP
	Speech Therapy	Yes	No	PCP
Contact Person:	Occupational Therapy	Yes	No	PCP
Sabina Apokorin	Pulmonary/Respiratory	Yes	No	PCP
215-991-4180	Gastroenterology	Yes	No	PCP
	Infusion	Yes	No	PCP

Inpatient