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Sports Medicine

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 Orthopedic Surgery
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Flower Insurance & Payment
Do I need a referral to see a doctor
in the Division of Sports Medicine?
The following insurance companies require referrals:
  • Blue Choice
  • BMC Healthnet
  • Commonwealth PPO
  • Healthflex Blue
  • HMO Blue
  • Neighborhood Health Plan
  • Harvard Pilgrim
  • US Healthcare
  • CIGNA HMO
  • HCHP
  • Health Source
  • Mass Health
  • Tufts Healthcare
  • Fallon
How do I get a referral?
Harvard Pilgrim: This insurance company typically provides two or three visit referrals at a time, which are valid for either six months or a year. You must know the number of visits allowed per referral and the duration of the referral.

Health Flex Blue, HMO Blue, Blue Choice: Referrals are given in series of 3 visits, the first of which must take place within 60 days of the initial referral and the two remaining visits within 90 days of the initial service date.

Tufts: Referrals are given in various allotments and are usually valid for one year in duration. You must know the number of visits allowed per referral.

What if I don't have a referral?
Patients seen without a referral are subject to full payment at time of visit. We will reimburse you once we receive payment from your insurance company. Patients will be charged as "self-pay" if referrals are not received or if insurance information is incomplete.
When is payment due?
Co-payments are due at the time of each visit. Please check your insurance card or your plan information for the amount due. Co-payments are payable in cash or check. We also accept MasterCard and Visa.
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Questions?
Contact:
Gesiane Soares
Billing Supervisor
Division of Sports Medicine
Children's Hospital Boston
617-355-2824
Patient Billing Information
Contact: Med Pro Medical Management, LLC
Michelle Hyslip, Team Leader
Tel: 508-946-1665
Direct: 800-853-8110
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