Referral Management Office|
The Referral Management Office (RMO) is responsible for facilitating the referral process for all Active Duty Service Members and TRICARE Prime
beneficiaries enrolled to Reynolds Army Community Hospital. The hours of the RMO are 7:30 a.m. to 4:30 p.m. It is located adjacent to the TRICARE
Service Center on the first floor of the hospital near the south entrance. You may also reach a staff member by calling (580) 558-2000, option 4,
during these hours.
How the Referral Process Works
Your Primary Care Manager (PCM) is responsible for directing all of your health care needs. If a referral is needed to a specialty care provider,
your PCM will enter a referral through the electronic medical record. The majority of referrals are processed by the staff of the RMO. Within 24 hours,
a registered nurse will review your referral and make the determination of where best to obtain the specialty care your PCM has requested. Although
the first choice is always Reynolds, our facility may not be available depending on current capability and capacity at our specialty clinics.
If the service is available inside RACH, you will be called by one of the RMO staff to assist you with scheduling your appointment, generally
within 48 hours from when it was ordered. To ensure that a member of the RMO is able to reach you, please stop by any clinic front desk to update
your address and current phone numbers. If you have not received a call within five days from when your referral was ordered, please call the RMO.
Appointments Scheduled with a Civilian Provider
If the specialty care your PCM requested is not available within RACH, the RMO staff will coordinate with the TRICARE contractor to
obtain an authorization with a civilian, network provider for your specialty care needs. Once the authorization is obtained, one of the RMO staff
will contact you to assist you with scheduling an appointment with the assigned civilian provider. Humana Military will also mail you an authorization
letter to your current address as listed in DEERS. This letter will detail who the authorized provider is, how many visits you are authorized,
and will specify a length of time that the authorization is valid. If you choose to make your own civilian appointment after receiving your authorization
letter, please contact the RMO office so that they will be able to notify your PCM of your anticipated appointment date. This will assist us with
obtaining the consultation report from your civilian specialist.
Please keep a copy of this letter and note the date that your authorization expires. If a follow up appointment is needed and your authorization
has expired, a new referral will be required from your PCM. Please contact the referral office directly and they will work with your PCM to renew
Do I Need to Take My Records to the Civilian Provider?
One of the services offered by the RMO is that they will fax a copy of your pertinent records to the authorized civilian provider.
If you had a related X-ray or MRI, please contact radiology to obtain a copy to take with you to your civilian appointment.
For questions or concerns on access standards, ask to speak with the Office Manager of your primary care clinic. If you need further assistance, please see the Patient Advocate.