Referral Department

Referral Hotline: (773) 413-1902  ׀  Monday – Friday: 9:00am – 4:30pm

 

Essential Health Partners (EHP IPA)

A note to patients with the Blue Cross HMO insurance plan called Essential Health Partners (EHP IPA)

Adult referrals MUST BE directed in-network. If your provider states it is medically necessary to go out-of network, the PCC Referrals Department must obtain authorization approval from EHP before the appointment(s) relevant to your referral(s), thus, please allow time for processing. Out of Network requests may not be approved. 

For every pediatric referral the PCC Referrals Department must obtain authorization approval from EHP before the appointment(s) relevant to your referral(s). Out of Network requests may not be approved.

Uninsured/Self-Pay/Sliding Fee/Discount

Stroger (CCHHS) offers free care to Cook County residents without insurance who enroll in their Carelink program. PCC Referrals Department will call you once the referral has been submitted. Then, Stroger will schedule your appointment and inform you via automated call 2 weeks before the appointment & 2 days before to notify you. Stroger may take 6 weeks or more to schedule your appointment.

  • Once PCC Referrals Department has called you, you may call Stroger (312) 864-1800 to schedule an
    appointment or schedule a follow-up appointment.
  • Call Stroger Benefits (312) 572-4500 about Carelink, billing, and cost. 
 

West Suburban & Bright Light offer imaging & testing (X-Rays, MRIs, etc.) at a discounted rate for uninsured patients.

  • West Suburban: (708) 763-6518
  • Bright Light: (847) 616-2000

Frequently Asked Questions

How long does it take for my referrals to be processed?

 

Many referrals are ready by the time of patient check-out and are available in the MyPCC Patient Portal. However if further processing is required:

  • PCC Referral Department processes referrals within 14 business days, but typically sooner.
  • This includes a 4-7 business day period for insurance authorization request decisions to be determined as approved or denied

 

 

Once your referral is ready, it will be faxed to the destination; simply call them to schedule an appt. If you want a copy:

  • Visit MyPCC Patient Portal, click full site if on mobile, click My Health Reminders; or
  • PCC Front Desk can print you a copy; or 
  • PCC Referral Department can also mail a copy upon request.
 


If a referral isn’t visible in your Patient Portal, it is still being processed. For updates, please:

  • Call the PCC Referral Hotline or send a message via MyPCC Patient Portal to inquire about the status of your referral order(s).

Once your referral has been processed, the PCC Referrals Department will contact you to inform you.

PCC Referrals Department is unable to guarantee sooner appointment availability for referred facilities/providers, but if desired, you can request the facility/provider to be changed.


 

Referrals typically expire after 6 months.

 


Insurance approval effective dates can be found on your referral within the ‘Referral Order Information’ section and in the ‘Order Name’ subsection, listed near the bottom.

If it has expired, please call the PCC Referral Hotline or send a message via the MyPCC Patient Portal to request for it to be updated.