AvMed Authorization and Referral Tool (AART)
Your patients trust their health to you. We trust it, too.
Primary Care Physicians (PCPs) play a critical role in the health of our Members and are in the best position to coordinate their health care needs.
With the launch of our web-based portal for AvMed Providers, AvMed Authorization and Referral Tool (AART), PCPs will provide referrals for AvMed Members to access most specialty care services. PCPs will access the referral system to create and verify referrals, while Specialists will access it only to verify referrals. A referral does not require AvMed’s approval. It has been established to promote better communication and coordination between treating physicians.
Get started today! To access AART, please log in to the Provider Portal.
Important: As a reminder, AvMed’s Engage and Entrust Individual and Family plans require Members to obtain a referral from their PCPs for most Specialist appointments. Your patients can access a list of Specialists requiring a referral in the documents listed below.
In order to ease the return of referrals, AvMed has delayed requiring PCP to Specialist referrals for Medicare Advantage Members until August 1, 2023.
See the documents below for more information:
P2P Referral Guidelines
Quick Reference Guide
List of Specialties Requiring a Referral