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How Internal Medicine Processes referrals                   Provider indicates referral is needed Patient checks out with PSR PSR is responsible to enter information in referral, process insurance, and get patient scheduled Patient given appt date and time Information entered into referral YES NO       Patient keeps appointment Patient is a no show for appointment       Did office receive information? office not notified YES NO       Information scanned into patients EMR "when time is available" separate PSR will review outstanding referrals, contact office to see what happened.       information sent to physician to determine next steps.